Gaithri Ramanathan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00610001 Issued in NJ

Practice address

610 Cross Keys Rd Ste 203
Sicklerville, NJ 08081-9580

Phone

(856) 250-1515

Fax

(856) 249-9118

NPI assigned

Jun 25, 2007

Last updated

May 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Society Boutique LLC

  • Optometrist
  • Sicklerville, NJ
  • NPI 1124744438
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1023214160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CROSS KEYS RD STE 203",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080819580",
            "telephone_number": "856-250-1515",
            "fax_number": "856-249-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CROSS KEYS RD STE 203",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080819580",
            "telephone_number": "856-250-1515",
            "fax_number": "856-249-9118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Route 73 S",
            "address_purpose": "LOCATION",
            "city": "Evesham",
            "state": "NJ",
            "postal_code": "080539637",
            "country_code": "US",
            "telephone_number": "856-396-3183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMANATHAN",
        "first_name": "GAITHRI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13652",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00610001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "438301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sandra Lee Ray, D.C.
• Steven Richard Ray, D.C.
• Bernine Raymond

• Optometrist in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.