Healthcare Provider Details

I. General information

NPI: 1316841083
Provider Name (Legal Business Name): ERICK ROMERO OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 WYNWOOD DR
CINNAMINSON NJ
08077-3033
US

IV. Provider business mailing address

1701 WYNWOOD DR
CINNAMINSON NJ
08077-3033
US

V. Phone/Fax

Practice location:
  • Phone: 856-829-0600
  • Fax:
Mailing address:
  • Phone: 856-829-0600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OA00745600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: