Dr. Shelli L Ravine, OD
Optometrist in Wall Township, New Jersey
1366439077- Practice location
- 1722 New Bedford RD, Wall Township, NJ 07719-3867
- Phone
- 732-971-1400
- Fax
- 732-974-2121
- Last updated
- March 18, 2008
Shelli Lynn Ravine is an Optometrist based in Wall Township, NJ. Shelli Lynn Ravine practices in Wall Township, NJ and has the professional credentials of OD. The NPI Number for Shelli Lynn Ravine is 1366439077 and holds a License No. 270A00453000 (NJ). The current practice location address for Shelli Lynn Ravine is 1722 New Bedford RD, Wall Township, NJ 07719-3867 and can be reached out via phone at 732-971-1400 and via fax at 732-974-2121.
Provider Profile Details
- NPI Number
- 1366439077
- Provider Name
- Shelli Lynn Ravine
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1722 New Bedford RD, Wall Township, NJ 07719-3867
- Phone Number
- 732-971-1400
- Fax Number
- 732-974-2121
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 29, 2005
- Last Update Date
- March 18, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1722 New Bedford RD
Wall Township, NJ 07719-3867 - City
- Wall Township
- State
- New Jersey
- Zip
- 07719-3867
- Phone Number
- 732-971-1400
- Fax Number
- 732-974-2121
Provider Business Mailing Address Details
- Address
- 1722 New Bedford RD
Wall Township, NJ 07719-3867 - City
- Wall Township
- State
- NJ
- Zip
- 07719-3867
- Phone Number
- 732-971-1400
- Fax Number
- 732-974-2121
License Information
- License Number (1)
- 270A00453000
- License State (1)
- NJ
- Taxonomy (1)
- Optometrist · 152W00000X · Primary
- License Number (2)
- 27T000033700
- License State (2)
- NJ
- Taxonomy (2)
- Optometrist · 152W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Wall Township, NJ
View all Optometrists in Wall Township →- Dr. Lauren Bacharach, ODOptometrist · NPI 1932124252
- Dr. Linda T Cox, ODOptometrist · NPI 1043257454
- Monmouth County Primary Eye Care LLCOptometrist · NPI 1851133565
- Ravine Eye Center INCOptometrist · NPI 1700839743
- Stellar Vision LLCOptometrist · NPI 1083070924
- Tyler J Lesko, ODOptometrist · NPI 1003548538
Frequently Asked Questions
What is the NPI number of Dr. Shelli L Ravine, OD?
The NPI number of Dr. Shelli L Ravine, OD is 1366439077. It was assigned on September 29, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Shelli L Ravine, OD?
Dr. Shelli L Ravine, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 270A00453000.
Where does Dr. Shelli L Ravine, OD practice?
The practice location is 1722 New Bedford RD, Wall Township, NJ 07719-3867. The office can be reached at 732-971-1400 (phone) or 732-974-2121 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366439077 directly on the NPPES registry website.