BARRY SCOTT RAINES NPI 1942285721

NPI Information

NPI: 1942285721
Provider Name: BARRY SCOTT RAINES
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Doing Business As: WAVECREST OPTICAL SHOP
Address: 257 BEACH 20TH ST
FAR ROCKAWAY, NY
ZIP 11691
Phone: (718) 327-2020

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NPI Details

BARRY SCOTT RAINES is an eyewear supplier in Far Rockaway, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BARRY SCOTT RAINES NPI is 1942285721. The provider is registered as an organization entity type.
The provider Is Doing Business As Wavecrest Optical Shop.

The provider's business location address is:

257 BEACH 20TH ST
FAR ROCKAWAY, NY
ZIP 11691-625
Phone: (718) 327-2020
Fax: (718) 327-3429

The provider's authorized official is Barry Scott Raines .
The authorized official title is Optician/owner and has the following contact phone number (718) 327-2020.

The enumeration date for this NPI number is 12/14/2005 and was last updated on 7/20/2007.

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	332H00000X	Eyewear Supplier		005665	NEW YORK	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	01136483	MEDICAID	NEW YORK
2	A08002326	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	NSC SUB. NO.

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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