Active NPIIndividual provider

Corrine Como Bengzon, OD

Optometrist in Legdewood, New Jersey

NPI Number1457415283
Practice location
461 Route 10 Ste A 100, Legdewood, NJ 07852
Fax
—
Last updated
October 19, 2023

Corrine Como Bengzon is an Optometrist based in Legdewood, NJ. Corrine Como Bengzon practices in Legdewood, NJ and has the professional credentials of OD. The NPI Number for Corrine Como Bengzon is 1457415283 and holds a License No. 27OA00550000 (NJ). The current practice location address for Corrine Como Bengzon is 461 Route 10 Ste A 100, Legdewood, NJ 07852 and can be reached out via phone at 973-252-2423.

Provider Profile Details

NPI Number
1457415283
Provider Name
Corrine Como Bengzon
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
461 Route 10 Ste A 100, Legdewood, NJ 07852
Phone Number
973-252-2423
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
December 19, 2006
Last Update Date
October 19, 2023
Certification Date
October 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
461 Route 10 Ste A 100
Legdewood, NJ 07852
Zip
07852
Phone Number
973-252-2423
Legdewood, NJ 07852Get directions →

Provider Business Mailing Address Details

Address
4 Fawnridge Dr
Long Valley, NJ 07853-3247
City
Long Valley
State
NJ
Zip
07853-3247
Phone Number
908-625-8491

License Information

License Number (1)
27OA00550000
License State (1)
NJ
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
27OM00025300
License State (2)
NJ
Taxonomy (2)
Optometrist · 152W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Corrine Como Bengzon, OD?

The NPI number of Corrine Como Bengzon, OD is 1457415283. It was assigned on December 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Corrine Como Bengzon, OD?

Corrine Como Bengzon, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00550000.

Where does Corrine Como Bengzon, OD practice?

The practice location is 461 Route 10 Ste A 100, Legdewood, NJ 07852. The office can be reached at 973-252-2423 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457415283 directly on the NPPES registry website.

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