Sara Ashley Restuccio, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.2341 Issued in SC

Practice address

119 Foxbank Plantation Blvd
Moncks Corner, SC 29461-6725

Phone

(843) 761-6485

Fax

(843) 761-6486

NPI assigned

May 31, 2022

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 SC

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

Ohio State University - College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plantation Eyecare Dba/Tricounty Eye AssociatesGroup PAC ID 5496017956, 5 clinicians

Eye Center of CharlestonGroup PAC ID 9032210083, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srestuccio@ecoc.intellechartdirect.net

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.

• Eye Center of Charleston

  • Ophthalmology Physician
  • Charleston, SC
  • NPI 1811905839
  Medicare reassignment Care Compare group NPD
• Plantation Eyecare

  • Optometrist
  • Moncks Corner, SC
  • NPI 1023558996
  Medicare reassignment Care Compare group NPD
• Lowcountry Eye Care of Cane Bay, LLC

  • Optometrist
  • Summerville, SC
  • NPI 1700319282
  Medicare reassignment NPD
• Lowcountry Eye Care of Goose Creek

  • Optometrist
  • Goose Creek, SC
  • NPI 1336440668
  Medicare reassignment NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1972242774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 FOXBANK PLANTATION BLVD STE A",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294616725",
            "telephone_number": "437-616-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 FOXBANK PLANTATION BLVD",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294616725",
            "telephone_number": "843-761-6485",
            "fax_number": "843-761-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTUCCIO",
        "first_name": "SARA",
        "middle_name": "ASHLEY",
        "name_prefix": "Miss",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2341",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT.2341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehabilitation Centers of Charleston
• Felicia Nicole Reid, MA, LPC
• Debra C Reilly, REGISTERED NURSE
• Jameka Rembert, LPC
• Renewal Therapeutics LLC
• Araceli Reyes, MASTER
• Abilene E Ribeiro
• Lauren Elizabeth Rich
• Alexis Ra'Sha Richards, CACP
• Celena Rose Courchaine Richards

• Optometrist in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.