Healthcare Provider Details

I. General information

NPI: 1417750191
Provider Name (Legal Business Name): AURORA EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 07/05/2025
Certification Date: 07/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E MAIN ST
BRIDGEWATER NJ
08807-3231
US

IV. Provider business mailing address

600 E MAIN ST
BRIDGEWATER NJ
08807-3231
US

V. Phone/Fax

Practice location:
  • Phone: 908-443-1822
  • Fax: 908-224-6383
Mailing address:
  • Phone: 908-443-1822
  • Fax: 908-224-6383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. TALIA M MISHKIN
Title or Position: OPTOMETRIST
Credential: O.D.
Phone: 908-443-1822