Shelli Lynn Ravine, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00453000 Issued in NJ

Practice address

1722 New Bedford Rd
Wall Township, NJ 07719-3867

Phone

(732) 971-1400

Fax

(732) 974-2121

NPI assigned

Sep 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

State University of New York - State College Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monmouth County Primary Eye Care LLCGroup PAC ID 9234662107, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Monmouth County Primary Eye Care LLC

  • Optometrist
  • Wall Township, NJ
  • NPI 1851133565
  Medicare reassignment Care Compare group NPD
• Ravine Eye Center Inc

  • Optometrist
  • Wall Township, NJ
  • NPI 1700839743
  Medicare reassignment NPD Authorized official
• Abady, Steiner and Ravine Eye Care O D P C

  • Optometrist
  • Oakhurst, NJ
  • NPI 1649213406
  Medicare reassignment NPD

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1366439077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 NEW BEDFORD RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193867",
            "telephone_number": "732-971-1400",
            "fax_number": "732-974-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 NEW BEDFORD RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193867",
            "telephone_number": "732-971-1400",
            "fax_number": "732-974-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVINE",
        "first_name": "SHELLI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00453000",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27T000033700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Criswell Quigley
• Nicole Quinn
• Said Ramadan, APN-C
• Cassandra Rampino, LCSW
• Ravine Eye Center Inc
• Alicia L. Realmuto, N.P.
• Ma Jeanette Andres Reyes, P.T.
• Gaetano A. Ricciardone, D.C.
• Doreen Ann Riegal, MS
• Ethan Rivera, RBT

• Optometrist in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.