Wavecrest Optical Shop
Wavecrest Optical Shop is a healthcare organization registered as Optometrist in Far Rockaway, NY, holding Type 2 (organization) NPI 1407057136 since 2007. The authorized official on file is Barry Raines, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407057136 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wavecrest Optical Shop |
| Practice address | 257 BEACH 20TH ST, Far Rockaway, NY, 11691 |
| Phone | 7183272020 |
| Fax | 7183273429 |
| Enumeration date | 2007-05-30 |
| Last updated in NPPES | 2007-08-16 |
Authorized official
| Name | Barry Raines |
|---|---|
| Title | Owner |
| Phone | 7183272020 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 005665 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01136483 | Medicaid | NY | — |
Copy-ready billing details
Provider: Wavecrest Optical Shop NPI: 1407057136 Taxonomy: 152W00000X (Optometrist) Address: 257 BEACH 20TH ST, Far Rockaway, NY, 11691
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942285721 | Barry Scott Raines | Organization | Eyewear Supplier | Far Rockaway, NY |
| 1447383823 | Raines Optical Company, LLC | Organization | Eyewear Supplier | Far Rockaway, NY |
| 1265745004 | Bryan Prouse | Individual | Optometrist | Far Rockaway, NY |
Verify this record
Cross-check NPI 1407057136 against the authoritative CMS record: view Wavecrest Optical Shop on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Wavecrest Optical Shop?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-08-16.