Healthcare Provider Details

I. General information

NPI: 1942700745
Provider Name (Legal Business Name): ENHANCED EYECARE NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2018
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MALL DRIVE E LENSCRAFTERS MACYS
JERSEY CITY NJ
07310-1602
US

IV. Provider business mailing address

20 MALL DRIVE E LENSCRAFTERS MACYS
JERSEY CITY NJ
07310-1602
US

V. Phone/Fax

Practice location:
  • Phone: 201-434-7800
  • Fax: 201-216-0686
Mailing address:
  • Phone: 201-216-0672
  • Fax: 201-216-0686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OA00677900
License Number StateNJ

VIII. Authorized Official

Name: DR. BALVINDER BHARJ
Title or Position: OPTOMETRIST
Credential: OD
Phone: 609-273-1807