Active NPIIndividual providerSole proprietor

Dr. Natalia Raeva, OD

Optometrist in Fair Lawn, New Jersey

NPI Number1508802513
Practice location
32-01 Broadway, Fair Lawn, NJ 07410-4616
Fax
201-886-2160
Last updated
November 14, 2007

Natalia Raeva is an Optometrist based in Fair Lawn, NJ. Natalia Raeva practices in Fair Lawn, NJ and has the professional credentials of OD. The NPI Number for Natalia Raeva is 1508802513 and holds a License No. 27TO00116402 (NJ). The current practice location address for Natalia Raeva is 32-01 Broadway, Fair Lawn, NJ 07410-4616 and can be reached out via phone at 201-414-6490 and via fax at 201-886-2160.

Provider Profile Details

NPI Number
1508802513
Provider Name
Natalia Raeva
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
32-01 Broadway, Fair Lawn, NJ 07410-4616
Phone Number
201-414-6490
Fax Number
201-886-2160
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 20, 2006
Last Update Date
November 14, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
32-01 Broadway
Fair Lawn, NJ 07410-4616
Zip
07410-4616
Phone Number
201-414-6490
Fax Number
201-886-2160
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
1203 River RD
16D
Edgewater, NJ 07020-1456
City
Edgewater
State
NJ
Zip
07020-1456
Phone Number
201-414-6490
Fax Number
201-886-2160

License Information

License Number (1)
27TO00116402
License State (1)
NJ
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
T006396
License State (2)
NY
Taxonomy (2)
Optometrist · 152W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Natalia Raeva, OD?

The NPI number of Dr. Natalia Raeva, OD is 1508802513. It was assigned on June 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Natalia Raeva, OD?

Dr. Natalia Raeva, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27TO00116402.

Where does Dr. Natalia Raeva, OD practice?

The practice location is 32-01 Broadway, Fair Lawn, NJ 07410-4616. The office can be reached at 201-414-6490 (phone) or 201-886-2160 (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 1508802513 directly on the NPPES registry website.

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