Provider Demographics
NPI:1568861235
Name:BERNARDS EYE CARE, LLC
Entity Type:Organization
Organization Name:BERNARDS EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:DENTE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:908-221-1132
Mailing Address - Street 1:169 MINE BROOK RD
Mailing Address - Street 2:
Mailing Address - City:BERNARDSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07924-2125
Mailing Address - Country:US
Mailing Address - Phone:908-221-1132
Mailing Address - Fax:908-221-0712
Practice Address - Street 1:169 MINE BROOK RD
Practice Address - Street 2:
Practice Address - City:BERNARDSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07924-2125
Practice Address - Country:US
Practice Address - Phone:908-221-1132
Practice Address - Fax:908-221-0712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00555600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ033871Medicare UPIN