Ravi Bhavesh Raithatha, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00736800 Issued in NJ

Practice address

86 Stanton St Apt 4
New York, NY 10002-1441

Phone

(201) 674-3336

NPI assigned

Jul 7, 2025

Sex

Male

Sole proprietor

Yes

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 NY, NJ2 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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Vista Vision LLC

  • Optometrist
  • Jersey City, NJ
  • NPI 1013890425
  Medicare reassignment NPD Authorized official
• Arts of Optics Corp.

  • Optometrist
  • New York, NY
  • NPI 1619456589
  Medicare reassignment NPD

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1619867181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 STANTON ST APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100021441",
            "telephone_number": "201-674-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 STANTON ST APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100021441",
            "telephone_number": "201-674-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAITHATHA",
        "first_name": "RAVI",
        "middle_name": "BHAVESH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00736800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Elise Raisner
• Prachi Raisoni
• Farbod Raiszadeh, MD, PHD
• Anthony Valentine Raiteri, MD
• Fumi Matsuki Raith, LCSW
• Roheen Raithatha, M.D.
• Halit Raitses, LAC
• Lauren Hillary Raivetz, MA CCC-SLP
• Claire Raizen
• Pamela Susan Raizman, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.