DR. SHELLI LYNN RAVINE (O.D.) – Optometrist, NPI 1366439077

DR. SHELLI LYNN RAVINE (O.D.) is a healthcare provider. based in Wall township, New Jersey. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 270A00453000 (NJ). The NPI Number for DR. SHELLI LYNN RAVINE (O.D.) is 1366439077

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHELLI LYNN RAVINE (O.D.)
NPI
1366439077
Phone
(732) 971-1400
Address
1722 NEW BEDFORD RD
Enumeration Date
29 September 2005
Last Update Date
18 March 2008

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
7325316300
Graduation Year
1984 (42 years ago)
PAC ID
4880622653
Group Practice PAC ID
9234662107
Professional Enrollment ID
I20050802000907
Address ID
NJ077193870WA1722XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,048 OPTOMETRY in NJ

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Provider Addresses for DR. SHELLI LYNN RAVINE (O.D.)

  • 1722, New Bedford Road, New Bedford, Wall Township, Monmouth County, New Jersey, 07719, United States

    WALL TOWNSHIP, NJ 077193867

    Phone: (732) 971-1400

    Fax: (732) 974-2121

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $907.

Total Amount is formed as General ($907) + Research ($0) + Ownership ($0) = $907.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($393).

Total Amount

$907

General + Research + Ownership

Payments

20

Total payment records

General Amount

$907

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050802000907IOptometryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system197197$0
99213Established patient office or other outpatient visit, 20-29 minutes14181$0
92250Photography of the retina4543$0
92004New patient complete exam of visual system3636$0
66984Removal of cataract with insertion of prosthetic lens2617$0
View full utilization report →

Insurance plans in this area (ZIP 07719)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234662107View full group profile
NameSpecialtyState
O P T O M E T R YNJ
O P T O M E T R YNJ
O P T O M E T R YNJ

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SHELLI LYNN RAVINE (O.D.)?
NPI 1366439077 is assigned to DR. SHELLI LYNN RAVINE (O.D.) under the national enumeration system.
Is DR. SHELLI LYNN RAVINE (O.D.) currently active in the NPI registry?
CMS-published data lists DR. SHELLI LYNN RAVINE (O.D.) as an active registrant.
What kind of provider is DR. SHELLI LYNN RAVINE (O.D.)?
The page reflects Optometrist for DR. SHELLI LYNN RAVINE (O.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. SHELLI LYNN RAVINE (O.D.)?
We surface Wall Township, New Jersey for DR. SHELLI LYNN RAVINE (O.D.) based on available NPPES addresses.
What if Wall Township, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.