Active NPIIndividual providerSole proprietor

Dr. Judson Moon, OD

Optometrist in Haddonfield, New Jersey

NPI Number1447288790
Practice location
57B Kings Hwy E, Haddonfield, NJ 08033-2001
Fax
856-216-9032
Last updated
February 6, 2023

Judson Moon is an Optometrist based in Haddonfield, NJ. Judson Moon practices in Haddonfield, NJ and has the professional credentials of OD. The NPI Number for Judson Moon is 1447288790 and holds a License No. 27TO00038100 (NJ). The current practice location address for Judson Moon is 57B Kings Hwy E, Haddonfield, NJ 08033-2001 and can be reached out via phone at 856-427-0788 and via fax at 856-216-9032.

Provider Profile Details

NPI Number
1447288790
Provider Name
Judson Moon
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
57B Kings Hwy E, Haddonfield, NJ 08033-2001
Phone Number
856-427-0788
Fax Number
856-216-9032
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 28, 2006
Last Update Date
February 6, 2023
Certification Date
February 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
57B Kings Hwy E
Haddonfield, NJ 08033-2001
Zip
08033-2001
Phone Number
856-427-0788
Fax Number
856-216-9032
Haddonfield, NJ 08033Get directions →

Provider Business Mailing Address Details

Address
57 Kings Hwy E
Haddonfield, NJ 08033-2001
City
Haddonfield
State
NJ
Zip
08033-2001
Phone Number
856-427-0788
Fax Number
856-216-9032

License Information

License Number (1)
27TO00038100
License State (1)
NJ
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
27OA00448100
License State (2)
NJ
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Judson Moon, OD?

The NPI number of Dr. Judson Moon, OD is 1447288790. It was assigned on June 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Judson Moon, OD?

Dr. Judson Moon, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27TO00038100.

Where does Dr. Judson Moon, OD practice?

The practice location is 57B Kings Hwy E, Haddonfield, NJ 08033-2001. The office can be reached at 856-427-0788 (phone) or 856-216-9032 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447288790 directly on the NPPES registry website.

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