Active NPI
Roshnee Girish Raval, OD
- Optometrist
- Puyallup, WA
National Provider Identifier
1730250168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD3983
- Practice address
- 310 31St Ave SE
Puyallup, WA 98374-1232 - Phone
- (253) 770-6336
- Fax
- (253) 770-6903
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD3983 | WA | Primary |
Addresses
Primary practice location
310 31St Ave SE
Puyallup, WA 98374-1232
Mailing address
PO Box 6582
Bellevue, WA 98008-0582
Phone (630) 935-0865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD3983 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730250168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6582",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980080582",
"telephone_number": "630-935-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 31ST AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983741232",
"telephone_number": "253-770-6336",
"fax_number": "253-770-6903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVAL",
"first_name": "ROSHNEE",
"middle_name": "GIRISH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD3983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.