Individual provider Active NPI

Anisha N. Raval, O.D.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1801978523
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001038 Issued in PA
Practice address
2329 Cottman Ave
Roosevelt Mall
Philadelphia, PA 19149-1003
Phone
(215) 332-7228
Fax
(215) 332-9337
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001038 PA Primary

Addresses

Primary practice location

2329 Cottman Ave
Roosevelt Mall
Philadelphia, PA 19149-1003

Mailing address

Raval Eye Care Associates
1495 Old York Road
Abington, PA 19001-1923
Phone (215) 572-6098

Other identifiers 2

IdentifierTypeStateIssuer
7985500OtherAETNA
RA1449088OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20081007000272 PA Practitioner - Optometry 1951479740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1495 Old York Rd
Abington, PA 19001-1923
Phone (215) 572-6098

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001038PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Raval Eye Care Associates Optometrist CurrentSince Jul 12, 2008 Accepting new patients

Locations

1495 Old York Rd
Abington, PA 19001
Phone (215) 572-6098

2331 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 269-0750

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1801978523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RAVAL EYE CARE ASSOCIATES",
            "address_2": "1495 OLD YORK ROAD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190011923",
            "telephone_number": "215-572-6098",
            "fax_number": "215-572-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 COTTMAN AVE",
            "address_2": "ROOSEVELT MALL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491003",
            "telephone_number": "215-332-7228",
            "fax_number": "215-332-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAL",
        "first_name": "ANISHA",
        "middle_name": "N.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7985500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "RA1449088",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.