Brooke Goonetilleke, OD | |
348 Main St, Hackensack, NJ 07601-5803 | |
(201) 482-1216 | |
Not Available |
Full Name | Brooke Goonetilleke |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 348 Main St, Hackensack, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790496826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV009604-01 (New York) | Secondary |
152W00000X | Optometrist | 27OA00714900 (New Jersey) | Primary |
Provider Name | Eyewellniss |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578298535 PECOS PAC ID: 6406222488 Enrollment ID: O20221017000454 |
Mailing Address | Practice Location Address |
---|---|
Brooke Goonetilleke, OD 278 Mccloud Dr, Fort Lee, NJ 07024-5304 Ph: (201) 390-0369 | Brooke Goonetilleke, OD 348 Main St, Hackensack, NJ 07601-5803 Ph: (201) 482-1216 |
Dr. Mahsa Shekari, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 630 Main St, Hackensack, NJ 07601 Phone: 201-678-9276 | |
Bina Eyecare Llc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 630 Main St, Hackensack, NJ 07601 Phone: 201-678-9276 | |
Better Sight Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 436 Main St., C/o Sears Optical, Hackensack, NJ 07601 Phone: 201-488-7119 | |
Tamara Drazin, MS Optometrist Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 201-996-5259 | |
Focus Eye Health And Vision Care, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 385 Prospect Ave, Hackensack, NJ 07601 Phone: 201-646-9090 Fax: 201-646-1247 | |
Dr. Steven Craig Caloras, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 463 Passaic St, Hackensack, NJ 07601 Phone: 201-342-3116 Fax: 201-342-3117 | |
Dr. Matthew E Esperon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 385 Prospect Ave, Focus Eye Health And Vision Care, Hackensack, NJ 07601 Phone: 201-646-9090 Fax: 201-646-1247 |