NPI 1366439077

Shelli Lynn Ravine, OD

Practitioner Optometrist Wall Township, NJ

Practice location

Address: 1722 New Bedford Rd, Wall Township, NJ 07719-3867
Phone: (732) 971-1400
Fax: (732) 974-2121

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 270A00453000 (NJ)

Other Optometrist providers in New Jersey →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 27T000033700 (NJ)

Registry record

NPI: 1366439077
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2005
Record last updated: 18 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.