Individual provider Active NPI

Sarah Mastrorocco, OD

  • Optometrist
  • Walterboro, SC
National Provider Identifier
1104560523
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007041 Issued in OH
Practice address
201 Eddie Chasteen Dr
Walterboro, SC 29488-5728
Phone
(843) 699-8145
Fax
(843) 549-0104
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007041 OH Primary

Addresses

Primary practice location

201 Eddie Chasteen Dr
Walterboro, SC 29488-5728

Mailing address

1150 Windsor Dr
Mineral Wells, WV 26150-6779
Phone (304) 615-3764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MN, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230824001483 SC Practitioner - Optometry 2567825524 Reassigns benefits to 1 organization
I20240903000380 MN Practitioner - Optometry 2567825524 Reassigns benefits to 1 organization
I20251021000455 IA Practitioner - Optometry 2567825524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians
Eye Care Associates of SC LLCGroup PAC ID 4587998802, 63 clinicians

Practice addresses (Care Compare)

1534 28TH Ave N
515 Vision Care
Fort Dodge, IA 50501-7602
Phone (515) 573-1145

435 S Grove St
Suite 2
Blue Earth, MN 56013-2605
Phone (507) 526-2222

966 Houston Northcutt Blvd
Suite D
Mount Pleasant, SC 29464-3487
Phone (843) 881-2492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007041OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Sep 15, 2025 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Sep 15, 2025 Accepting new patients
Blue Earth Valley Eye Clinic LTD PastSince May 23, 2024 Accepting new patients
F Mason Smith Optometrist Past Accepting new patients

Locations

1534 28th Ave N
#515
Fort Dodge, IA 50501
Phone (515) 573-1145

1534 28th Ave N
Fort Dodge, IA 50501
Phone (515) 573-1145

208 West St
Grinnell, IA 50112
Phone (641) 236-4002

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1104560523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 WINDSOR DR",
            "city": "MINERAL WELLS",
            "state": "WV",
            "postal_code": "261506779",
            "telephone_number": "304-615-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EDDIE CHASTEEN DR",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885728",
            "telephone_number": "843-699-8145",
            "fax_number": "843-549-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROROCCO",
        "first_name": "SARAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

Verify at the official NPI Registry.