SARAH MASTROROCCO (OD) – Optometrist, NPI 1104560523

SARAH MASTROROCCO (OD) is a healthcare provider. based in Dayton, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.007041 (OH). The NPI Number for SARAH MASTROROCCO (OD) is 1104560523

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SARAH MASTROROCCO (OD)
NPI
1104560523
Phone
(937) 268-6511
Address
4100 W 3RD ST
Enumeration Date
21 April 2022
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5075262222
Graduation Year
2022 (4 years ago)
PAC ID
2567825524
Group Practice PAC ID
4587998802
Professional Enrollment ID
I20240903000380
Address ID
MN560132605BL435XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for SARAH MASTROROCCO (OD)

  • 4100 W 3RD ST

    DAYTON, OH 454289000

    Phone: (937) 268-6511

    Type: Location

  • 1150 WINDSOR DR

    MINERAL WELLS, WV 261506779

    Phone: (304) 615-3764

    Type: Mailing

  • 201 EDDIE CHASTEEN DR

    WALTERBORO, SC 294885728

    Phone: (843) 699-8145

    Fax: (843) 549-0104

    Type: Location

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 $302.

Total Amount is formed as General ($302) + Research ($0) + Ownership ($0) = $302.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($144).

Total Amount

$302

General + Research + Ownership

Payments

3

Total payment records

General Amount

$302

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

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: 2025-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20230824001483IOptometrySCTBD
I20240903000380IOptometryMNTBD
I20251021000455IOptometryIATBD

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 45428)

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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: 4587998802View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YSC
O P T O M E T R YCO
O P T O M E T R YMN
-VA
O P T O M E T R YSC
O P T O M E T R YSC
O P T O M E T R YSC
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Can I verify SARAH MASTROROCCO (OD) with an NPI only?
You can start verification with NPI 1104560523 for SARAH MASTROROCCO (OD), then check state licensing separately.
Does the file indicate SARAH MASTROROCCO (OD) is practicing under active NPI?
Directory data currently reports SARAH MASTROROCCO (OD) as active.
What healthcare role does SARAH MASTROROCCO (OD) hold?
Scheduling teams often label SARAH MASTROROCCO (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Does SARAH MASTROROCCO (OD) list a practice location?
Patients near Dayton, Ohio may find SARAH MASTROROCCO (OD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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