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Deactivated NPI 1336540939 Deactivated / Inactive NPI Female Practitioner

Dr. Praneetha Raveendranathan , OD

Optometrist • Union, NJ

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Praneetha Raveendranathan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2014
NPI Deactivation Date April 30, 2024
Total Practice Duration ~10 Years of Practice (2014 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Praneetha Raveendranathan, OD was a registered Optometrist in Union, NJ. Prior to record deactivation on 2024-04-30, Dr. Raveendranathan completed approximately 10 years of clinical practice following graduation from University Of The Incarnate Word School Of Osteo Medicine in 2014.

Dr. Raveendranathan was affiliated with The Eye Clinic Nj and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, extended exam of the back part of the eye with optic nerve drawing. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1095 Morris Ave
Suite 400

Union, NJ 07083

Telephone 9736222020
Fax 9086862525

Medicare Profile & Education

Medical School

University Of The Incarnate Word School Of Osteo Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Union, NJ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -10.7 yrs vs City Avg
City Avg: 22.7 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
16 Specialists

Practicing in Union, NJ (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raveendranathan (12 Years) 12 Yrs
Union Specialty Average (22.7 Years) 22.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
17 17 $120.00 $99.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 15 $175.00 $140.36
92202 Extended exam of the back part of the eye with optic nerve drawing
14 14 $100.00 $16.69

Medical Specialties & State Licenses

CMS Verified: 2024-05-21
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NJ 27OA00712100

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

The Eye Clinic Nj

1095 Morris Ave, Union, NJ 070837172

Phone: 9086862525

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Allison Thibault , RDN

Dietitian, Registered

NPI 1104477942

Registered Dietitian Nutritionist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 21, 2024

Registered at 1095 MORRIS AVE, SUITE 400, UNION, NJ 07083 (Tel: 9736222020)

📍
Updated Business Mailing Address May 21, 2024

Registered at 1095 MORRIS AVE, SUITE 400, UNION, NJ 07083 (Tel: 9736222020)

👤
Provider Name / Credentials Updated May 21, 2024

Recorded as PRANEETHA RAVEENDRANATHAN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2024

Optometrist (License #27OA00712100 in NJ)

⚠️
NPI Profile Deactivated April 30, 2024

Record deactivated on April 30, 2024

NPI Profile Active September 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2014

Registered at 105 W 7TH AVE STE 800, CORSICANA, TX 751106430 (Tel: 9038740005)

📍
Updated Business Mailing Address September 15, 2014

Registered at 501 E KOLSTAD ST, PALESTINE, TX 758012352 (Tel: 9037314653)

👤
Provider Name / Credentials Updated September 15, 2014

Recorded as PRANEETHA RAVEENDRANATHAN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2014

Optometrist (License #8469T in TX)

🟢
Initial NPI Registration & Enumeration September 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336540939
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2014
Last Update: May 21, 2024
Deactivation Date: April 30, 2024
Sole Proprietor: No

Mailing Address

1095 Morris Ave, Suite 400

Union, NJ 07083

Phone: 9736222020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.