Bergen Eye Care Clinic Limited Liabilty Company

LBN: Bergen Eye Care Clinic Limited Liabilty Company
Bergen Eye Care Clinic Limited Liabilty Company is an health care organization with primary practice located at 910 Bergen Ave , Jersey City NJ 07306-4314. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Bergen Eye Care Clinic Limited Liabilty Company can be contacted via phone (201) 610-0980, or through Trytjak, Yurij via phone (201) 610-0980.

Contact Information

Primary practice address
910 Bergen Ave Jersey City NJ 07306-4314
Fax: (201) 610-0822
Website:
Authorized official contact:
Name: Trytjak, Yurij Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00357400 New Jersey

Profile Details

NPI number 1619277704
LBN Legal business name Bergen Eye Care Clinic Limited Liabilty Company
DBA Doing business as
Authorized official Trytjak, Yurij Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2010
Last updated Dec 29th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619277704 NPPES
New Jersey MEDICAID 3631010

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