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General NPI Number Information
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NPI Number | 1942700745
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Entity Type | Organization
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Legal Business Name | ENHANCED EYECARE NJ LLC
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 10/12/2024
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Provider Practice Location Address
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Address Line | 20 MALL DRIVE E LENSCRAFTERS MACYS
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City | JERSEY CITY
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State | NJ
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Zip | 07310-1602
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Country | US
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Telephone | 201-434-7800
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Fax | 201-216-0686
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Provider Business Mailing Address
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Address Line | 20 MALL DRIVE E LENSCRAFTERS MACYS
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City | JERSEY CITY
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State | NJ
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Zip | 07310-1602
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Country | US
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Telephone | 201-216-0672
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Fax | 201-216-0686
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. BALVINDER BHARJ
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Credential | OD
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Telephone | 609-273-1807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00677900
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License Number State | NJ
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