- Practice location
- 32-01 Broadway, Fair Lawn, NJ 07410-4616
- Phone
- 201-414-6490
- Fax
- 201-886-2160
- Last updated
- June 5, 2008
Natalia Raeva OD PC is a healthcare organization based in Fair Lawn, NJ. Natalia Raeva OD PC practices in Fair Lawn, NJ. The NPI Number for Natalia Raeva OD PC is 1760641674 and holds a License No. 27OA00576500 (NJ). The current practice location address for Natalia Raeva OD PC 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
- 1760641674
- Provider Name
- Natalia Raeva OD PC
- Provider Entity Type
- Organization
- Address
- 32-01 Broadway, Fair Lawn, NJ 07410-4616
- Phone Number
- 201-414-6490
- Fax Number
- 201-886-2160
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Natalia Raeva, OD · President · 201-414-6490
- Provider Enumeration Date
- June 5, 2008
- Last Update Date
- June 5, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 32-01 Broadway
Fair Lawn, NJ 07410-4616 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-4616
- Phone Number
- 201-414-6490
- Fax Number
- 201-886-2160
Provider Business Mailing Address Details
- Address
- 1203 River RD Apt 16D
Edgewater, NJ 07020-1465 - City
- Edgewater
- State
- NJ
- Zip
- 07020-1465
- Phone Number
- 201-414-6490
- Fax Number
- 201-886-2160
License Information
- License Number
- 27OA00576500
- License State
- NJ
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Natalia Raeva OD PC?
The NPI number of Natalia Raeva OD PC is 1760641674. It was assigned on June 5, 2008 and is currently active in the NPPES registry.
What is the specialty of Natalia Raeva OD PC?
Natalia Raeva OD PC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00576500.
Where does Natalia Raeva OD PC 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 1760641674 directly on the NPPES registry website.