Healthcare Provider Details

I. General information

NPI: 1700607413
Provider Name (Legal Business Name): ENHANCED EYECARE NJ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MALL DR E
JERSEY CITY NJ
07310-1602
US

IV. Provider business mailing address

5 NAMI LN
HAMILTON NJ
08619-1261
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VIII. Authorized Official

Name: BALVINDER BHARJ
Title or Position: OWNER
Credential: OD
Phone: 609-273-1807