Provider Demographics
NPI:1336864628
Name:BERGEN ADVANCED EYECARE PC
Entity Type:Organization
Organization Name:BERGEN ADVANCED EYECARE PC
Other - Org Name:EYES ON RAMSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GURJINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-762-4286
Mailing Address - Street 1:44 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1901
Mailing Address - Country:US
Mailing Address - Phone:732-762-4286
Mailing Address - Fax:
Practice Address - Street 1:44 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1901
Practice Address - Country:US
Practice Address - Phone:732-762-4286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty