| Brooke Goonetilleke, OD | |
|
17-17 Route 208 Ste 350, Fair Lawn, NJ 07410-2819 | |
| (201) 693-4051 | |
| Not Available |
| Full Name | Brooke Goonetilleke |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 17-17 Route 208 Ste 350, Fair Lawn, 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 | Bergen Optometry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780044958 PECOS PAC ID: 2062790439 Enrollment ID: O20161107000749 |
| Provider Name | Eyewellniss |
|---|---|
| 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 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: () - | Brooke Goonetilleke, OD 17-17 Route 208 Ste 350, Fair Lawn, NJ 07410-2819 Ph: (201) 693-4051 |
Dr. Robert Kahn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23-55 Fair Lawn Avenue, Fair Lawn, NJ 07410 Phone: 201-796-2873 | |
Jennine Dorse, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4-14 Saddle River Rd, Fair Lawn, NJ 07410 Phone: 215-360-7198 | |
Leonard J Press, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 17-10 Fair Lawn Ave, 2nd Fl, Fair Lawn, NJ 07410 Phone: 201-794-7977 Fax: 201-794-7347 | |
Dr. Kenneth B Rosen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 26-07 Broadway, Fair Lawn, NJ 07410 Phone: 201-796-3050 Fax: 201-796-3385 | |
Dr. Jack Sol Mermelstein, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4-14 Saddle River Rd, Suite 202, Fair Lawn, NJ 07410 Phone: 201-797-2747 Fax: 201-797-5809 | |
Dr. William Bernard Goldsmith, OD Optometrist Medicare: Medicare Enrolled Practice Location: 13-36 River Rd, Fair Lawn, NJ 07410 Phone: 201-797-2020 Fax: 201-797-0416 | |
Milony Sanghvi, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 17-10 Fair Lawn Ave, Fair Lawn, NJ 07410 Phone: 201-794-7977 |