Raeva, Natalia

Raeva, Natalia is an sole proprietor health care provider with primary practice located at 32-01 Broadway , Fair Lawn NJ 07410-4616. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Raeva, Natalia can be contacted via phone (201) 414-6490.

Contact Information

Primary practice address
32-01 Broadway Fair Lawn NJ 07410-4616
Phone: (201) 414-6490
Fax: (201) 886-2160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27TO00116402 New Jersey
Eye and Vision Services Providers / Optometrist 152W00000X T006396 New York

Profile Details

NPI number 1508802513
LBN Legal business name Raeva, Natalia
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Nov 14th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508802513 NPPES
New Jersey Other 1084777 AETNA PROVIDER NUMBER
New Jersey Other 3947164 AETNA PROVIDER NUMBER
New Jersey Other 3K2198 AETNA PROVIDER NUMBER
New Jersey Other NPI AETNA PROVIDER NUMBER
New Jersey Other 219230 AETNA PROVIDER NUMBER
New Jersey Other 29840 AETNA PROVIDER NUMBER
New Jersey Other 52387 AETNA PROVIDER NUMBER
New Jersey MEDICAID 0032875 AETNA PROVIDER NUMBER
New Jersey MEDICAID 02530129 AETNA PROVIDER NUMBER

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