Dr Taewha Carolyn Moon, OD | |
225 Broad Ave Ste 206, Palisades Park, NJ 07650-1590 | |
(201) 585-1337 | |
(201) 585-2998 |
Full Name | Dr Taewha Carolyn Moon |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 225 Broad Ave Ste 206, Palisades Park, 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 |
---|---|---|---|
1972603637 | NPI | - | NPPES |
5084601 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 270A00465400 (New Jersey) | Primary |
Provider Name | Coopercrwn Nj |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801083050 PECOS PAC ID: 4789942350 Enrollment ID: O20180103002433 |
Mailing Address | Practice Location Address |
---|---|
Dr Taewha Carolyn Moon, OD 225 Broad Ave Ste 206, Palisades Park, NJ 07650-1590 Ph: (201) 585-1337 | Dr Taewha Carolyn Moon, OD 225 Broad Ave Ste 206, Palisades Park, NJ 07650-1590 Ph: (201) 585-1337 |
Dr. Seung-hee Choi, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 540 Bergen Blvd, Palisades Park, NJ 07650 Phone: 201-461-3970 | |
Dr. Julia E. Kim, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 171 Roosevelt Place, Ground Floor, Palisades Park, NJ 07650 Phone: 917-715-5600 | |
Family Eye Clinic, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 121 Broad Ave, Palisades Park, NJ 07650 Phone: 201-346-1500 | |
Visiting Vision Services Optometrist Medicare: Not Enrolled in Medicare Practice Location: 571 Windsor Dr, Palisades Park, NJ 07650 Phone: 201-421-9321 | |
Best Vision Optometrist Medicare: Medicare Enrolled Practice Location: 225 Broad Ave, Suite#206, Palisades Park, NJ 07650 Phone: 201-585-1337 Fax: 201-585-2998 | |
Dr. Martin Sung Kim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 121 Broad Ave, Palisades Park, NJ 07650 Phone: 201-346-1500 Fax: 201-346-1549 | |
John J Kim, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 540 Bergen Blvd, Palisades Park, NJ 07650 Phone: 201-461-3970 Fax: 201-242-9061 |