Organization
BERGEN-PASSAIC CATARACT LASER AND SURGERY CENTER, LLC
Active
Organization
BERGEN-PASSAIC CATARACT LASER AND SURGERY CENTER, LLC
Active
Other names
Bergen-Passaic Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE I HAUSER (ADMINISTRATOR)
(201) 414-5649
Entity
Organization
Contact information
Practice address
18-01 POLLITT DR, SUITE 4, FAIR LAWN, NJ 07410-2813
(201) 414-5649
(201) 398-9132
Mailing address
18-01 POLLITT DR, SUITE 4, FAIR LAWN, NJ 07410-2813
(201) 414-5649
(201) 398-9132
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001457000
AMERIHEALTH
NJ
01
—
0074894
AETNA INS
NJ
01
—
311023
HORIZON BC BS OF NJ
NJ
01
—
490001083
RAILROAD MEDICARE
—
05
—
7465301
—
NJ
01
—
91000613500
AMERICHOICE
NJ
01
—
ANC847
OXFORD INS
NJ
01
—
NK9611
HEALTHNET
NJ
Enumeration date
08/24/2005
Last updated
09/05/2017
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