Provider Demographics
NPI:1972226850
Name:RAIA, CAITLYN ELIZABETH (OD)
Entity type:Individual
Prefix:DR
First Name:CAITLYN
Middle Name:ELIZABETH
Last Name:RAIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:125 W MAIN ST APT 123
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2221
Mailing Address - Country:US
Mailing Address - Phone:908-872-5998
Mailing Address - Fax:
Practice Address - Street 1:856 US HIGHWAY 206
Practice Address - Street 2:BUILDING C, SUITE 18
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1514
Practice Address - Country:US
Practice Address - Phone:908-359-4363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00716300152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist