RAVINE EYE CENTER INC
NPI 1700839743
Optometrist in Wall Township, NJ

Active since May 19, 2006
1722 NEW BEDFORD RD, WALL TOWNSHIP, NJ 07719(732) 974-1400(732) 974-2121 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ravine Eye Center Inc NPPES

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

RAVINE EYE CENTER INC (NPI 1700839743) is a healthcare organization registered as an optometrist in Wall Township, New Jersey and active in the NPI registry since May 2006. The organization lists Shelli L Ravine, Vice Pres, as its authorized official.

NPPES Registry Identity

NPI1700839743
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameRAVINE EYE CENTER INC
Location Address1722 NEW BEDFORD RDWall Township, NJ 07719-3867
Mailing Address1722 New Bedford RdWall Township, NJ 07719-3867 · (732) 974-1400 · Fax (732) 974-2121
Fax(732) 974-2121
Organization SubpartNo
Authorized OfficialShelli L RavineVice Pres · (732) 974-1400
Enumeration DateMay 19, 2006
Last NPPES UpdateMay 6, 2008
✔ NPI 1700839743 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 NJ · 27OA00453001
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.
1722 NEW BEDFORD RD, Wall Township, NJ 07719

Other Identifiers 3

Other1700839743NJ · Railroad Medicare
Medicare UPINU26779NJ
Medicare PIN102497NJ

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ravine Eye Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20060727000336Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Ravine Eye Center Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Optometry
NPI 1366439077
1722 NEW BEDFORD RD
Wall Township, NJ 07719
(732) 971-1400
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1043257454
1722 NEW BEDFORD RD
Wall Township, NJ 07719
(732) 974-1400
✔ PECOSSame address
Optometry
NPI 1497897953
40 BEY LEA RD STE B103
Toms River, NJ 08753
(732) 349-1012
✔ PECOS15 mi
Optometry
NPI 1295222511
14 MULE RD STE 1
Toms River, NJ 08755
(732) 286-0900
✔ PECOS✔ Accepts Medicare17 mi

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

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 Ravine Eye Center Inc's NPI number?

The NPI number for Ravine Eye Center Inc is 1700839743. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Ravine Eye Center Inc located?

Ravine Eye Center Inc is located at 1722 New Bedford Rd, Wall Township, NJ 07719. The listed phone number is (732) 974-1400.

What is Ravine Eye Center Inc's specialty?

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

Is Ravine Eye Center Inc enrolled in Medicare?

Yes. Ravine Eye Center Inc is registered in the Medicare PECOS enrollment system.

When is Ravine Eye Center Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ravine Eye Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Ravine Eye Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ravine Eye Center Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Ravine Eye Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ravine Eye Center Inc was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.