Provider Demographics
NPI:1114194313
Name:CHERRY HILL EYE DOCTORS, P.A.
Entity Type:Organization
Organization Name:CHERRY HILL EYE DOCTORS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZOREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-662-5656
Mailing Address - Street 1:2000 ROUTE 38 STE 1590
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-2114
Mailing Address - Country:US
Mailing Address - Phone:856-662-5656
Mailing Address - Fax:856-662-8975
Practice Address - Street 1:2000 ROUTE 38 STE 1590
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2114
Practice Address - Country:US
Practice Address - Phone:856-662-5656
Practice Address - Fax:856-662-8975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ2974152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ259577Medicare PIN
NJ0356660002Medicare NSC