Provider Demographics
NPI:1114616919
Name:BELIGHT EYECARE LLC
Entity Type:Organization
Organization Name:BELIGHT EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:EUN
Authorized Official - Middle Name:J
Authorized Official - Last Name:YOO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:201-906-9931
Mailing Address - Street 1:510B LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-2648
Mailing Address - Country:US
Mailing Address - Phone:201-906-9931
Mailing Address - Fax:
Practice Address - Street 1:543 RIVER RD
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1146
Practice Address - Country:US
Practice Address - Phone:201-402-0255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty