MR. PAUL MASTROROCCO DISPENSING OPTICIAN
NPI 1801041843
Technician/Technologist - Optician in Port Jefferson Station, NY

Active since November 18, 2008
208 ROUTE 112 STE 2, PORT JEFFERSON STATION, NY 11776(631) 331-0600(631) 331-0809 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Paul Mastrorocco Dispensing Optician NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL MASTROROCCO DISPENSING OPTICIAN (NPI 1801041843) is an individual optician in Port Jefferson Station, New York, licensed in New York (5855-1) and active in the NPI registry since November 2008. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1801041843
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameMR. PAUL MASTROROCCOCredential: DISPENSING OPTICIAN
Location Address208 ROUTE 112 STE 2Port Jefferson Station, NY 11776-1013
Mailing Address180 E Main St, Suite 104Patchogue, NY 11772-3171 · (631) 475-5030 · Fax (631) 475-5037
Fax(631) 331-0809
Sole ProprietorYes
Enumeration DateNovember 18, 2008
Last NPPES UpdateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
NPI 1801041843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License Licensed in NY · 5855-1
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
208 ROUTE 112 STE 2, Port Jefferson Station, NY 11776

Secondary Practice Locations 3

Location 1180 E Main St Ste 104Patchogue, NY 11772-3116 · Phone (631) 475-5030 · Fax (631) 475-5037
Location 2125 Main StStony Brook, NY 11790-1911 · Phone (631) 751-2801 · Fax (631) 751-2832
Location 379 E Main St Ste DSmithtown, NY 11787-2867 · Phone (631) 265-5767 · Fax (631) 265-9624

Other Identifiers 4

Medicaid00683849NY
Medicaid00342952NY
Medicaid03292940NY
Medicaid01934578NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
208 ROUTE 112 STE 2
PORT JEFFERSON STATION, NY 11776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Mastrorocco's NPI number?

The NPI number for Paul Mastrorocco is 1801041843. It was assigned to this individual provider in the NPPES registry on November 18, 2008.

Where is Paul Mastrorocco located?

Paul Mastrorocco practices at 208 Route 112 Ste 2, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-0600.

What is Paul Mastrorocco's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Paul Mastrorocco was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.