Judy Park Revai, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

007950 Issued in NY

Practice address

228 Delaware Ave
Delmar, NY 12054-1244

Phone

(518) 439-7012

NPI assigned

Jul 25, 2006

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: judy.revai.p1@direct.ehct.nextgenshare.com

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.

• Buenau's Opticians Inc

  • Durable Medical Equipment & Medical Supplies
  • Delmar, NY
  • NPI 1659425650
  Medicare reassignment NPD
• New York Optometry Professional PLLC

  • Optometrist
  • Sidney, NY
  • NPI 1598470544
  Medicare reassignment NPD
• Cornea Consultants of Albany,PLLC

  • Ophthalmology Physician
  • Slingerlands, NY
  • NPI 1760466858
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1487676516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541244",
            "telephone_number": "518-439-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541244",
            "telephone_number": "518-439-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVAI",
        "first_name": "JUDY",
        "middle_name": "PARK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007950",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11201T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert R Quimby, M.D.
• Kayla Rackowski, PT
• Ellen Regal, NP
• Christopher R Reilly, L.AC.
• Renaissance Dental PC (Albany County Dental Associates)
• Rebecca May Rice, DACM, L.AC.
• Jeanne-Marie Rimlinger, PSYD., LMHC
• Robert K. Heineman Jr., MD PC
• Robert T Giombetti (Giombetti and Brady Pediatrics)
• Kristin Patricia Robinson, MD

• Optometrist in Delmar, NY
• Providers in Delmar, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.