Organization
ENVISION EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J DZURENDA OD (OPTEMETRIC PHYSICIAN)
(732) 819-8181
Entity
Organization
Contact information
Practice address
561 US HIGHWAY 1, EDISON, NJ 08817-4400
(732) 819-8181
(732) 819-3593
Mailing address
561 US HIGHWAY 1, EDISON, NJ 08817-4400
(732) 819-8181
(732) 819-3593
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1201X
Optometric Assistant Technician
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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