DR. NATALIA RAEVA (NPI# 1508802513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508802513 |
| Entity Type | Individual |
| Full Name | DR. NATALIA RAEVA |
| Credential | OD |
| Practice Address |
32-01 Broadway Fair Lawn NJ 07410-4616 |
| Mailing Address |
1203 River Rd 16d Edgewater NJ 07020-1456 |
| Practice Telephone | 2014146490 |
| Practice Fax Number | 2018862160 |
| Mailing Telephone | 2014146490 |
| Mailing Fax Number | 2018862160 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | T006396 | NY | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 27TO00116402 | NJ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02530129 | 05 | |
| NJ | QUALCARE | NPI | 01 |
| NJ | EYEMED PROVIDER NUMBER | 219230 | 01 |
| NJ | CIGNA PROVIDER NUMBER | 3947164 | 01 |
| NJ | DAVIS VISION PROVIDER NUM | 52387 | 01 |
| NJ | AETNA PROVIDER NUMBER | 1084777 | 01 |
| NJ | HEALTHNET PROVIDER NUMBER | 3K2198 | 01 |
| NJ | 0032875 | 05 | |
| NJ | SPECTERA PROVIDER NUMBER | 29840 | 01 |
| Street Address |
32-01 BROADWAY |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760641674 | Natalia Raeva Od PC | Optometrist | 32-01 Broadway, Fair Lawn, NJ 07410-4616 | 2008-06-05 |
| 1245437755 | Terrylee Maimone O.d, P.c | Optometrist | 32-01 Broadway, Fair Lawn, NJ 07410-4616 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619383890 | Jeslyn Hwang | Optometrist | 4-14 Saddle River Rd Ste 202, Fair Lawn, NJ 07410-5624 | 2014-07-08 |
| 1346493210 | Visionary Eyecare of New Jersey | Optometrist | 11-11 River Road, Fair Lawn, NJ 07410 | 2008-10-23 |
| 1114089836 | Leonard J Press | Optometrist | 17-10 Fair Lawn Ave, 2nd Fl, Fair Lawn, NJ 07410-2324 | 2006-12-16 |
| 1205998234 | Jeanine Elizabeth Graves | Optometrist | 11-11 River Rd, Fair Lawn, NJ 07410-1463 | 2006-12-15 |
| 1013097732 | Robert Kahn | Optometrist | 23-55 Fair Lawn Avenue, Fair Lawn, NJ 07410-3407 | 2006-10-17 |
| 1205879905 | William Bernard Goldsmith | Optometrist | 13-36 River Rd, Fair Lawn, NJ 07410-1813 | 2006-06-13 |
| 1144291931 | Kenneth B Rosen | Optometrist | 26-07 Broadway, Fair Lawn, NJ 07410-3832 | 2006-01-30 |
| 1588654115 | Kevin Michael Jackson | Optometrist | 39-06 Kramer Pl, Fair Lawn, NJ 07410-5311 | 2005-10-25 |
| 1558366161 | Gytta Ehrman | Optometrist | 4-14 Saddle River Rd, Suite 202, Fair Lawn, NJ 07410-5632 | 2005-06-20 |
| 1215538053 | Milony Sanghvi | Optometrist | 17-10 Fair Lawn Ave, Fair Lawn, NJ 07410-2324 | 2020-11-06 |
| Find all providers in FAIR LAWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.