Individual provider Active NPI

Anuradha P Rana, OD

  • Optometrist
  • Bloomfield, NJ
National Provider Identifier
1154981140
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00687900 Issued in NJ
Practice address
1255 Broad St
Bloomfield, NJ 07003-3000
Phone
(973) 338-7575
NPI assigned
Jun 20, 2019
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00687900 NJ Primary

Addresses

Primary practice location

1255 Broad St
Bloomfield, NJ 07003-3000

Mailing address

9 Meade Ave
Passaic, NJ 07055-3803
Phone (862) 273-1217

Other practice location 1

30 Mall Dr W
Jersey City, NJ 07310-1615
Phone (201) 798-0303

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190926002266 NJ Practitioner - Optometry 2264762699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

44 S Livingston Ave
Livingston, NJ 07039-3007
Phone (862) 273-1217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00687900NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Klein & Scannapiego, MD., PA Optometrist CurrentSince Aug 16, 2021 Accepting new patients
Maison de Vision Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Center for Excellence in Cataract & Eye Surgery PastSince Jan 12, 2025 Accepting new patients
Paterson Eye Associates Past Accepting new patients

Locations

230 W Jersey St
#2
Elizabeth, NJ 07202

230 W Jersey St
Ste 201
Elizabeth, NJ 07202
Phone (908) 289-1166

44 S Livingston Ave
Livingston, NJ 07039
Phone (862) 273-1217

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1154981140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEADE AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553803",
            "telephone_number": "862-273-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033000",
            "telephone_number": "973-338-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Mall Dr W",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073101615",
            "country_code": "US",
            "telephone_number": "201-798-0303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANA",
        "first_name": "ANURADHA",
        "middle_name": "P",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00687900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.