Organization Active NPI

Raines Optical Company, LLC

Doing business as Wavecrest Optical Shop

  • Optometrist
  • Far Rockaway, NY
National Provider Identifier
1871627679
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV-004963-1 Issued in NY
Legal business name
RAINES OPTICAL COMPANY, LLC
Doing business as
Wavecrest Optical Shop
Practice address
1055 Beach 21St St
Far Rockaway, NY 11691-3304
Phone
(718) 327-2020
Fax
(718) 327-3429
NPI assigned
Mar 15, 2007
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Mr. Barry S Raines, OPTICIAN (OPH DISP)
Title
Chief Operating Officer
Phone
(718) 327-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 5665 NY
Optometrist 152W00000X TUV-004963-1 NY Primary

Addresses

Primary practice location

1055 Beach 21St St
Far Rockaway, NY 11691-3304

Mailing address

1055 Beach 21St St
Far Rockaway, NY 11691-3304
Phone (718) 327-2020

Other names 1

  • WAVECREST OPTICAL SHOP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000797 NY Part B Supplier - Clinic/Group Practice 3870677842 Receives reassigned benefits from 1 practitioner
Practice locations: Far Rockaway, NY

National Provider Directory

National Provider Directory
Tax ID family
Raines Optical Company LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

257 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1871627679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 BEACH 21ST ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913304",
            "telephone_number": "718-327-2020",
            "fax_number": "718-327-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 BEACH 21ST ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913304",
            "telephone_number": "718-327-2020",
            "fax_number": "718-327-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINES OPTICAL COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "718-327-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN (OPH DISP)"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "5665",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-004963-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAVECREST OPTICAL SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.