Individual provider Active NPI

Troy D Raber, O. D.

  • Optometrist
  • Dover, DE
National Provider Identifier
1356315394
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0001252 Issued in DE
Practice address
885 S Governors Ave
Dover, DE 19904-4158
Phone
(302) 734-5861
Fax
(302) 734-1921
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I3-0001252 DE Primary

Addresses

Primary practice location

885 S Governors Ave
Dover, DE 19904-4158

Mailing address

885 S Governors Ave
Dover, DE 19904-4158
Phone (302) 734-5861

Other identifiers 4

IdentifierTypeStateIssuer
0000982522MedicaidDE
11220801OtherCAQH
161525705OtherDEBCBSDE
510270915OtherDEMAMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20110325000139 DE Practitioner - Optometry 0840473039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simon Eye Associates PAGroup PAC ID 4082684089, 35 clinicians

Practice addresses (Care Compare)

19266 Coastal Hwy
Unit 16
Rehoboth Beach, DE 19971-6117
Phone (302) 239-1933

800 Airport Rd
Suite 101
Milford, DE 19963-6469
Phone (302) 239-1933

820 Walker Rd
Vision Quest Eye Care Center
Dover, DE 19904-2727
Phone (302) 239-1933

912 N Union St
Wilmington, DE 19805-5326
Phone (302) 239-1933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I3-0001252DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Jan 7, 2019 Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist Current Accepting new patients
Simon Eye Associates PA Optometrist CurrentSince Dec 1, 2019 Accepting new patients

Locations

1237 Quintilio Dr
Bear, DE 19701
Phone (302) 678-1700

820 Walker Rd
Dover, DE 19904
Phone (302) 678-3545

820 Walker Rd
Ste C
Dover, DE 19904
Phone (302) 678-3545

885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861

800 Airport Rd
Ste 101
Milford, DE 19963
Phone (302) 422-2124

35786 Atlantic Ave
Unit 1
Millville, DE 19967
Phone (302) 537-0234

201 Stadium St
Smyrna, DE 19977
Phone (302) 653-3400

5301 Limestone Rd
Ste 128
Wilmington, DE 19808

912 N Union St
Wilmington, DE 19805
Phone (302) 655-8180

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 3

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1356315394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-734-5861",
            "fax_number": "302-734-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-734-5861",
            "fax_number": "302-734-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABER",
        "first_name": "TROY",
        "middle_name": "D",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000982522",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11220801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSDE",
            "identifier": "161525705",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "510270915",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.