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WAVECREST OPTICAL SHOP
NPI 1407057136
Optometrist in Far Rockaway, NY

Active since May 30, 2007
257 BEACH 20TH ST, FAR ROCKAWAY, NY 11691(718) 327-2020(718) 327-3429 Get Directions Write a Review

NPPES record last updated: August 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wavecrest Optical Shop NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAVECREST OPTICAL SHOP (NPI 1407057136) is a healthcare organization registered as an optometrist in Far Rockaway, New York and active in the NPI registry since May 2007. The organization lists Barry Raines, Owner, as its authorized official.

NPPES Registry Identity

NPI1407057136
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWAVECREST OPTICAL SHOP
Location Address257 BEACH 20TH STFar Rockaway, NY 11691-3625
Mailing Address257 Beach 20th StFar Rockaway, NY 11691-3625 · (718) 327-2020 · Fax (718) 327-3429
Phone(718) 327-2020
Fax(718) 327-3429
Organization SubpartNo
Authorized OfficialBarry RainesOwner · (718) 327-2020
Enumeration DateMay 30, 2007
Last NPPES UpdateAugust 16, 2007
✔ NPI 1407057136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · 005665
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
257 BEACH 20TH ST, Far Rockaway, NY 11691
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Other Identifiers 2

Medicaid01136483NY
Medicare PIN00235NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRYAN S PROUSE O.D.
Optometrist
257 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 327-2020
RAINES OPTICAL COMPANY, LLC
Eyewear Supplier
257 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 327-2020
BARRY SCOTT RAINES
Eyewear Supplier
257 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 327-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wavecrest Optical Shop's NPI number?

The NPI number for Wavecrest Optical Shop is 1407057136. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Wavecrest Optical Shop located?

Wavecrest Optical Shop is located at 257 Beach 20th St, Far Rockaway, NY 11691. The listed phone number is (718) 327-2020.

What is Wavecrest Optical Shop's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Wavecrest Optical Shop was last updated on August 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.