DR. NATALIA RAEVA OD NPI 1508802513

NPI Information

NPI: 1508802513
Provider Name: DR. NATALIA RAEVA, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 32-01 BROADWAY
FAIR LAWN, NJ
ZIP 07410
Phone: (201) 414-6490

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NPI Details

DR. Natalia Raeva, OD is an optometrist in Fair Lawn, NJ with 25 years of experience. The provider is 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. DR. Natalia Raeva, OD NPI is 1508802513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduation Year:2001

The provider's business location address is:

32-01 BROADWAY
FAIR LAWN, NJ
ZIP 07410-616
Phone: (201) 414-6490
Fax: (201) 886-2160

The NPI 1508802513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient problem focused exam of visual system (HCPCS:92012)
Established patient complete exam of visual system (HCPCS:92014)
Extended exam of the back part of the eye with optic nerve drawing (HCPCS:92202)
New patient complete exam of visual system (HCPCS:92004)
Exam of visual field with intermediate testing (HCPCS:92082)

The enumeration date for this NPI number is 6/20/2006 and was last updated on 11/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		T006396	NEW YORK	No
2	152W00000X	Optometrist		27TO00116402	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	52387	OTHER	NEW JERSEY	DAVIS VISION PROVIDER NUM
2	NPI	OTHER	NEW JERSEY	QUALCARE
3	C337A1	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE PROVIDER NUMBER
4	1084777	OTHER	NEW JERSEY	AETNA PROVIDER NUMBER
5	29840	OTHER	NEW JERSEY	SPECTERA PROVIDER NUMBER
6	3K2198	OTHER	NEW JERSEY	HEALTHNET PROVIDER NUMBER
7	219230	OTHER	NEW JERSEY	EYEMED PROVIDER NUMBER
8	V00374	MEDICARE UPIN
9	0032875	MEDICAID	NEW JERSEY
10	02530129	MEDICAID	NEW YORK
11	3947164	OTHER	NEW JERSEY	CIGNA PROVIDER NUMBER
12	079744	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	MEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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