MEDICARE: MR. PARAG CHAMPKLAL RAITHATHA OPTICIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	TD3405	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790709384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PARAG CHAMPKLAL RAITHATHA OPTICIAN

Provider Business Mailing Address
First Line	:	1091B SPRINGFIELD AVE
Second Line	:
City	:	IRVINGTON
State	:	NJ
Zip	:	07111-2408
Country	:	US
Telephone Number	:	973-416-6664
Fax Number	:	973-424-0072

Provider Business Practice Location Address
First Line	:	1091B SPRINGFIELD AVE
Second Line	:
City	:	IRVINGTON
State	:	NJ
Zip	:	07111-2408
Country	:	US
Telephone Number	:	973-416-6664
Fax Number	:	973-424-0072

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1700957503 — OPTICAL PALACE OF HARRISON LLC
Practice Location Address:

1053 SPRINGFIELD AVE
IRVINGTON, NJ
07111-2408

Practice Phone: 973-416-6664
Practice Fax: 973-416-6649

1578864682 — IRVINGTON EYE CARE LIMITED LIABILITY COMPANY
Practice Location Address:

1091B SPRINGFIELD AVE
IRVINGTON, NJ
07111-2408

Practice Phone: 973-416-6664
Practice Fax: 973-416-6649

1902489040 — MARISSA D RODRIGUEZ GOMES LSW
Practice Location Address:

192 LAUREL AVE
IRVINGTON, NJ
07111-1331

Practice Phone: 559-903-1953
Practice Fax:

1053245332 — STAR ALLIANCE CARE GROUP LLC
Practice Location Address:

3 MARSHALL ST
IRVINGTON, NJ
07111-3622

Practice Phone: 929-562-6987
Practice Fax:

1720912876 — REDSTONE SHINE LLC
Practice Location Address:

277 COIT ST
IRVINGTON, NJ
07111-4013

Practice Phone: 347-232-2024
Practice Fax:

1447183215 — VELORA BEHAVIORAL HEALTH LLC
Practice Location Address:

53 PHILIP PL
IRVINGTON, NJ
07111-2908

Practice Phone: 917-224-8622
Practice Fax:

Directions to “ MR. PARAG CHAMPKLAL RAITHATHA OPTICIAN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.