Provider Demographics
NPI:1093244519
Name:EYE CARING ON BERGENLINE
Entity Type:Organization
Organization Name:EYE CARING ON BERGENLINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERLING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:201-218-4485
Mailing Address - Street 1:7733 BERGENLINE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-4966
Mailing Address - Country:US
Mailing Address - Phone:201-868-1021
Mailing Address - Fax:201-868-2960
Practice Address - Street 1:7733 BERGENLINE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-4966
Practice Address - Country:US
Practice Address - Phone:201-868-1021
Practice Address - Fax:201-868-2960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00584704152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty