Provider Demographics
NPI:1861915381
Name:CHERVENAK, JENNIFER MEGAN (DOCTOR OF OPTOMETRY)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MEGAN
Last Name:CHERVENAK
Suffix:
Gender:F
Credentials:DOCTOR OF OPTOMETRY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3849 S DELSEA DR
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-7408
Mailing Address - Country:US
Mailing Address - Phone:856-825-8999
Mailing Address - Fax:
Practice Address - Street 1:3849 S DELSEA DR
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-7408
Practice Address - Country:US
Practice Address - Phone:856-825-8999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00674200152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist