Organization
BERGEN EYE CARE CLINIC LIMITED LIABILTY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YURIJ TRYTJAK OD (OPTOMETRIST)
(201) 610-0980
Entity
Organization
Contact information
Practice address
910 BERGEN AVE, JERSEY CITY, NJ 07306-4314
(201) 610-0980
(201) 610-0822
Mailing address
910 BERGEN AVE, JERSEY CITY, NJ 07306-4314
(201) 610-0980
(201) 610-0822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00357400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3631010
—
NJ
Enumeration date
10/24/2010
Last updated
12/29/2011
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