Taewha Carolyn Moon in Palisades Park - Optometrist
Taewha Carolyn Moon - NPI 1972603637
Taewha Carolyn Moon is a Optometrist in Palisades Park, New Jersey. Taewha Carolyn Moon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Taewha Carolyn Moon is 1972603637. The last update date is 2017-03-09.
Taewha Carolyn Moon's current location address is 225 Broad Ave Ste 206, Palisades Park, New Jersey. You can contact this provider via phone number 2015851337 and fax number 2015852998. The mailing address for Taewha Carolyn Moon is 225 Broad Ave Ste 206, Palisades Park, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Taewha Carolyn Moon |
|---|---|
| Address | 225 Broad Ave Ste 206, Palisades Park, New Jersey |
| Phone Number | 2015851337 |
| Fax Number | 2015852998 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1972603637 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2017-03-09 |
Provider Mailing Address Detail
| Address | 225 Broad Ave Ste 206 |
|---|---|
| City | Palisades Park |
| State | New Jersey (NJ) |
| Post Code | 76501590 |
| Phone Number | 2015851337 |
| Fax Number | 2015852998 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 270A00465400 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5084601 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Taewha Carolyn Moon by the Centers for Medicare & Medicaid Services?
The Taewha Carolyn Moon has been issued the NPI (National Provider Identifier) 1972603637, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Taewha Carolyn Moon?
The Taewha Carolyn Moon is physically situated at 225 Broad Ave Ste 206, in the city of Palisades Park, state of NJ, with the postal code 76501590.
What is Taewha Carolyn Moon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Taewha Carolyn Moon is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
When did the Taewha Carolyn Moon receive its 1972603637?
The Taewha Carolyn Moon was issued its 1972603637 on 2006-09-23, which is the date when the organization was assigned this unique identifier.
When was the information regarding Taewha Carolyn Moon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Taewha Carolyn Moon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-03-09.