Valentin Raksin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006253-1 Issued in NY

Practice address

227 River Ave
Lakewood, NJ 08701

Phone

(732) 364-9996

NPI assigned

Sep 17, 2006

Last updated

May 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valentin Raksin, O.D., PC

  • Health Service Clinic/Center
  • Brooklyn, NY
  • NPI 1740549443
  NPD (past) Authorized official
• Imperial Eyewear

  • Customized Equipment (DME)
  • Lakewood, NJ
  • NPI 1295901494
  NPD (past)
• Ny Optix LLC

  dba Nu-Vision Optical

  • Eyewear Supplier
  • Brooklyn, NY
  • NPI 1497992069
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463184000000",
    "number": "1619074200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 QUEBEC RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-364-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKSIN",
        "first_name": "VALENTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2016-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006253-1",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00578000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00123200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02087227",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8933308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chananya B Raitzik, LCSW
• Goldy Raitzik
• Pearl Raitzik
• Joshua Raj
• Gowri Rajeswaran, MD
• Yuta Ralbag
• Sathya Ramachandran, MD
• Olga Ramales-Perez, LSW
• Jasun Ramirez
• Johaly Ramirez

• Optometrist in Lakewood, NJ
• Providers in Lakewood, 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 14, 2016; 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.