DR. JUDY PARK REVAI OD
NPI 1487676516
Optometrist in Delmar, NY

Q: What is Judy Revai's NPI number?

The NPI number for Judy Revai is 1487676516. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Judy Revai's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Judy Revai was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 25, 2006PECOS Enrolled

228 DELAWARE AVE, DELMAR, NY 12054(518) 439-7012 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Judy Park Revai Od NPPES

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

DR. JUDY PARK REVAI OD (NPI 1487676516) is an individual optometrist in Delmar, New York, licensed in New York (007950) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487676516

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. JUDY PARK REVAICredential: OD

Location Address228 DELAWARE AVEDelmar, NY 12054-1244

Mailing Address228 Delaware AveDelmar, NY 12054-1244 · (518) 439-7012

Phone(518) 439-7012

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateJune 7, 2023

NPPES CertifiedJune 7, 2023

✔ NPI 1487676516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in NY · 007950✔ Licensed in CA · 11201T✔ Licensed in PA · OEG001245

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.

228 DELAWARE AVE, Delmar, NY 12054

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Judy Park Revai Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Judy Revai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Buenau's Opticians Inc

Same address

Durable Medical Equipment & Medical Supplies

228 DELAWARE AVE
Delmar, NY 12054

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Buenaus Opticians Inc
5 clinicians in this Medicare group

NPI 1659425650 (518) 439-7012

New York Optometry Professional PLLC

83 mi

Optometrist

75 MAIN ST
Sidney, NY 13838

Reassigned Medicare billing, New York enrollment
56 clinicians in this Medicare group

NPI 1598470544 (607) 563-7551

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

TIMOTHY EDWARD BRAIM OD

Optometrist