Organization
BERGEN OPTOMETRY GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN L EHRENWORTH O.D. (OPTOMETRIST)
(201) 342-4255
Entity
Organization
Contact information
Practice address
348 MAIN ST, HACKENSACK, NJ 07601-5803
(201) 342-4255
(201) 487-4886
Mailing address
348 MAIN ST, HACKENSACK, NJ 07601-5803
(201) 342-4255
(201) 487-4886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27TO00046002
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295909
—
NJ
Enumeration date
12/13/2006
Last updated
04/21/2016
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