DR. ROSANNE MEZZANO (OD) – Optometrist, NPI 1629110028

DR. ROSANNE MEZZANO (OD) is a healthcare provider. based in Fairview heights, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046 008911 (IL). The NPI Number for DR. ROSANNE MEZZANO (OD) is 1629110028

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROSANNE MEZZANO (OD)
NPI
1629110028
Phone
(618) 624-2266
Address
ST. CLAIR SQUARE SHOPPING CENTER
Enumeration Date
13 February 2007
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
6183985005
Graduation Year
1996 (30 years ago)
PAC ID
8820161615
Group Practice PAC ID
0840588760
Professional Enrollment ID
I20080728000307
Address ID
IL622082042FA10900TRLX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. ROSANNE MEZZANO (OD)

  • ST. CLAIR SQUARE SHOPPING CENTER

    SPACE 124

    FAIRVIEW HEIGHTS, IL 62208

    Phone: (618) 624-2266

    Fax: (618) 624-4187

    Type: Mailing

  • 6407 N ILLINOIS ST

    FAIRVIEW HEIGHTS, IL 62208

    Phone: (618) 398-5005

    Fax: (618) 852-1930

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $216.

Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($147).

Total Amount

$216

General + Research + Ownership

Payments

3

Total payment records

General Amount

$216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080728000307IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840588760View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ROSANNE MEZZANO (OD)?
DR. ROSANNE MEZZANO (OD) — NPI 1629110028 — is the standard way to identify this listing.
Is DR. ROSANNE MEZZANO (OD) listed as active for patients and plans?
The listing shows DR. ROSANNE MEZZANO (OD) as active in the NPI system.
What is DR. ROSANNE MEZZANO (OD)'s specialty?
The listing groups DR. ROSANNE MEZZANO (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. ROSANNE MEZZANO (OD) serve?
DR. ROSANNE MEZZANO (OD)'s listing highlights Fairview Heights, Illinois; more addresses can appear in NPPES.
Is the information about DR. ROSANNE MEZZANO (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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