Praneetha Raveendranathan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00712100 Issued in NJ

Practice address

1095 Morris Ave
Suite 400
Union, NJ 07083

Phone

(973) 622-2020

Fax

(908) 686-2525

NPI assigned

Sep 15, 2014

Reactivated

May 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

University of the Incarnate Word School of Osteo Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Eye Clinic NJGroup PAC ID 8921199183, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.95 of 100Reported as group

Quality

93.91

Improvement activities

40

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 and National Provider Directory roles.

• The Eye Clinic NJ

  • Ophthalmology Physician
  • Union, NJ
  • NPI 1467539791
  Medicare reassignment Care Compare group
• Eyejava LLC

  • Optometrist
  • Glen Rock, NJ
  • NPI 1376471144
  NPD Authorized official
• Janet B Ogletree OD PA

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1336540939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 MORRIS AVE",
            "address_2": "SUITE 400",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "973-622-2020",
            "fax_number": "908-686-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 MORRIS AVE",
            "address_2": "SUITE 400",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "973-622-2020",
            "fax_number": "908-686-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVEENDRANATHAN",
        "first_name": "PRANEETHA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "deactivation_date": "2024-04-30",
        "reactivation_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00712100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osamah Rasheed
• Tasneem J Rashid, MD
• Charles E Rassier Jr., M.D.
• Krystal Rato, PHARM.D.
• Paul Keith Ratzker, M.D.
• Marcel Rayal, MS, BCBA
• Raymond Lee DPM LLC
• Barbara Raymond, APN
• RCL
• Augusta Reeves

• Optometrist in Union, NJ
• Providers in Union, 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 21, 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.