Provider Demographics
NPI:1699941658
Name:RAVAL EYE CARE ASSOCIATES
Entity type:Organization
Organization Name:RAVAL EYE CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANISHA
Authorized Official - Middle Name:NIRAV
Authorized Official - Last Name:RAVAL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-572-6098
Mailing Address - Street 1:1495 OLD YORK RD
Mailing Address - Street 2:ADJACENT TO TARGET OPTICAL
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-1926
Mailing Address - Country:US
Mailing Address - Phone:215-572-6098
Mailing Address - Fax:215-572-6308
Practice Address - Street 1:1495 OLD YORK RD
Practice Address - Street 2:ADJACENT TO TARGET OPTICAL
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-1926
Practice Address - Country:US
Practice Address - Phone:215-572-6098
Practice Address - Fax:215-572-6308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty