| Peter Heesung Yoon, OD | |
|
63 W Pleasant Ave, Maywood, NJ 07607-1334 | |
| (201) 845-4700 | |
| Not Available |
| Full Name | Peter Heesung Yoon |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 63 W Pleasant Ave, Maywood, 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 |
|---|---|---|---|
| 1578135356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 27OA00706500 (New Jersey) | Primary |
| 152W00000X | Optometrist | RT009362 (New York) | Secondary |
| Provider Name | Palisades Optometrics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336605344 PECOS PAC ID: 4486055688 Enrollment ID: O20210625000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Heesung Yoon, OD Po Box 333, West Orange, NJ 07052-0333 Ph: () - | Peter Heesung Yoon, OD 63 W Pleasant Ave, Maywood, NJ 07607-1334 Ph: (201) 845-4700 |
Charles M Shiel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 63 W Pleasant Ave, Maywood, NJ 07607 Phone: 201-845-4700 Fax: 201-845-4474 | |
Dr. Ketan Harshadray Kutlerywala, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 63 W Pleasant Ave, Maywood, NJ 07607 Phone: 201-845-4700 | |
Innovision Optometry Nj Pc Optometrist Medicare: Medicare Enrolled Practice Location: 63 W Pleasant Ave, Maywood, NJ 07607 Phone: 201-845-4700 |