Rosanne Mezzano, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0460088911 Issued in IL

Practice address

6407 N Illinois St
Fairview Heights, IL 62208

Phone

(618) 398-5005

Fax

(618) 852-1930

NPI assigned

Feb 13, 2007

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reed Eye Care CenterGroup PAC ID 0840588760, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Reed Eye Care Center

  • Optometrist
  • Fairview Heights, IL
  • NPI 1487109484
  Medicare reassignment Care Compare group NPD
• Luxottica of America Inc.

  dba Lenscrafters #995

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1891880977
  NPD (past)
• Pearle Vision Inc

  dba Pearle Vision #C6672

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1982744033
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1629110028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 N ILLINOIS ST",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "62208",
            "telephone_number": "618-398-5005",
            "fax_number": "618-852-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 N ILLINOIS ST",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "62208",
            "telephone_number": "618-398-5005",
            "fax_number": "618-852-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZZANO",
        "first_name": "ROSANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046 008911",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0460088911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medgo, LLC
• Metro Cardiology Group LTD
• Metroeast Endoscopic Surgery Center
• Metroeast Endoscopy Centre
• Metroeast Neuropsychiatric Services, P.C.
• Michael K. Faulkner DC
• Midwest Hearing Consultants Group, Inc. (Sears Hearing Aid Center,Miracle-Ear)
• Nareese Capri Miller
• Miracle-Ear, Inc.
• Sheri Mitchell

• Optometrist in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.