Provider Demographics
NPI:1750275939
Name:OPHTHALMOLOGY NJ LLC
Entity type:Organization
Organization Name:OPHTHALMOLOGY NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:YERLIN
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:BARQUERO CAMPOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-599-9011
Mailing Address - Street 1:400 VALLEY RD STE 106
Mailing Address - Street 2:
Mailing Address - City:MT ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07856-2316
Mailing Address - Country:US
Mailing Address - Phone:973-751-6060
Mailing Address - Fax:
Practice Address - Street 1:5 FRANKLIN AVE STE 209
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-3504
Practice Address - Country:US
Practice Address - Phone:973-751-6060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty