| Coopercrwn Nj | |
|
225 Broad Ave, Suite#206, Palisades Park, NJ 07650-1588 | |
| (201) 585-1337 | |
| (201) 585-2998 |
| Full Name | Coopercrwn Nj |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 225 Broad Ave, Palisades Park, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801083050 | NPI | - | NPPES |
| 5084601 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 270A00465400 (New Jersey) | Primary |
| Provider Name | Taewha Carolyn Moon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972603637 PECOS PAC ID: 7214998541 Enrollment ID: I20041020000994 |
| Provider Name | Larry Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366917064 PECOS PAC ID: 5698183861 Enrollment ID: I20210428001232 |
| Mailing Address | Practice Location Address |
|---|---|
| Coopercrwn Nj 225 Broad Ave, Suite#206, Palisades Park, NJ 07650-1588 Ph: (201) 585-1337 | Coopercrwn Nj 225 Broad Ave, Suite#206, Palisades Park, NJ 07650-1588 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 | |
Broadway Optical Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 204 Broad Ave, Palisades Park, NJ 07650 Phone: 201-585-7111 | |
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 | |
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 |