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MISS SARA ASHLEY RESTUCCIO OD
NPI 1972242774
Optometrist in Moncks Corner, SC

Active since May 31, 2022PECOS EnrolledAccepts Medicare Assignment
119 FOXBANK PLANTATION BLVD, MONCKS CORNER, SC 29461(843) 761-6485(843) 761-6486 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Sara Ashley Restuccio Od NPPES

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

MISS SARA ASHLEY RESTUCCIO OD (NPI 1972242774) is an individual optometrist in Moncks Corner, South Carolina, licensed in South Carolina (OPT.2341) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2022).

NPPES Registry Identity

NPI1972242774
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMISS SARA ASHLEY RESTUCCIOCredential: OD
Location Address119 FOXBANK PLANTATION BLVDMoncks Corner, SC 29461-6725
Mailing Address119 Foxbank Plantation Blvd Ste AMoncks Corner, SC 29461-6725 · (437) 616-4858
Phone(843) 761-6485
Fax(843) 761-6486
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2022
Enumeration DateMay 31, 2022
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1972242774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in SC · OPT.2341✔ Licensed in SC · 2341
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
119 FOXBANK PLANTATION BLVD, Moncks Corner, SC 29461
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Sara Ashley Restuccio Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688030943
PECOS Enrollment IDI20230511003795
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Sara Restuccio reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Plantation Eyecare
Same address
Optometrist
119 FOXBANK PLANTATION BLVD STE A
Moncks Corner, SC 29461
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Plantation Eyecare Dba/Tricounty Eye Associates
  • 6 clinicians in this Medicare group
NPI 1023558996 (843) 761-6485
Lowcountry Eye Care Of Cane Bay, LLC
5.4 mi
Optometrist
1718 STATE RD # 176, SUITE 3 (8D)
Summerville, SC 29486
  • Reassigned Medicare billing, South Carolina enrollment
  • 15 clinicians in this Medicare group
NPI 1700319282 (843) 797-1264
Lowcountry Eye Care Of Goose Creek
7.9 mi
Optometrist
425 RED BANK RD
Goose Creek, SC 29445
  • Reassigned Medicare billing, South Carolina enrollment
  • 14 clinicians in this Medicare group
NPI 1336440668 (843) 797-1254
Eye Center Of Charleston
20 mi
Ophthalmology
2270 ASHLEY CROSSING DR, SUITE 100
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1811905839 (843) 556-2357

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services40 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
45 services45 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
27 services26 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sara Restuccio's NPI number?

The NPI number for Sara Restuccio is 1972242774. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Sara Restuccio located?

Sara Restuccio practices at 119 Foxbank Plantation Blvd, Moncks Corner, SC 29461. The listed phone number is (843) 761-6485.

What is Sara Restuccio's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sara Restuccio enrolled in Medicare?

Yes. Sara Restuccio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sara Restuccio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Restuccio reassigns Medicare benefits to 4 organizations: Plantation Eyecare (Moncks Corner, SC), Lowcountry Eye Care Of Cane Bay, LLC (Summerville, SC), Lowcountry Eye Care Of Goose Creek (Goose Creek, SC) and Eye Center Of Charleston (Charleston, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Restuccio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Restuccio accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Sara Restuccio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sara Restuccio was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.