NPIMap

Organization Active NPI

Bergen Eye Care Clinic Limited Liabilty Company

  • Optometrist
  • Jersey City, NJ
National Provider Identifier
1619277704
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00357400 Issued in NJ
Legal business name
BERGEN EYE CARE CLINIC LIMITED LIABILTY COMPANY
Practice address
910 Bergen Ave
Jersey City, NJ 07306-4314
Phone
(201) 610-0980
Fax
(201) 610-0822
NPI assigned
Oct 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Yurij Trytjak, ODNPI 1871540732
Title
Optometrist
Phone
(201) 610-0980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00357400 NJ Primary

Addresses

Primary practice location

910 Bergen Ave
Jersey City, NJ 07306-4314

Mailing address

910 Bergen Ave
Jersey City, NJ 07306-4314
Phone (201) 610-0980

Other identifiers 2

IdentifierTypeStateIssuer
0253219MedicaidNJ
3631010MedicaidNJ

National Provider Directory

National Provider Directory

Locations

910 Bergen Ave
Jersey City, NJ 07306
Phone (201) 610-0980

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1619277704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064314",
            "telephone_number": "201-610-0980",
            "fax_number": "201-610-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064314",
            "telephone_number": "201-610-0980",
            "fax_number": "201-610-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN EYE CARE CLINIC LIMITED LIABILTY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-24",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "TRYTJAK",
        "authorized_official_first_name": "YURIJ",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "201-610-0980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00357400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0253219",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3631010",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.