Dr. Taewha C Moon, OD
Optometrist in Palisades Park, New Jersey
1972603637- Practice location
- 225 Broad Ave Ste 206, Palisades Park, NJ 07650-1590
- Phone
- 201-585-1337
- Fax
- 201-585-2998
- Last updated
- March 9, 2017
Taewha Carolyn Moon is an Optometrist based in Palisades Park, NJ. Taewha Carolyn Moon practices in Palisades Park, NJ and has the professional credentials of OD. The NPI Number for Taewha Carolyn Moon is 1972603637 and holds a License No. 270A00465400 (NJ). The current practice location address for Taewha Carolyn Moon is 225 Broad Ave Ste 206, Palisades Park, NJ 07650-1590 and can be reached out via phone at 201-585-1337 and via fax at 201-585-2998.
Provider Profile Details
- NPI Number
- 1972603637
- Provider Name
- Taewha Carolyn Moon
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 225 Broad Ave Ste 206, Palisades Park, NJ 07650-1590
- Phone Number
- 201-585-1337
- Fax Number
- 201-585-2998
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 23, 2006
- Last Update Date
- March 9, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 225 Broad Ave Ste 206
Palisades Park, NJ 07650-1590 - City
- Palisades Park
- State
- New Jersey
- Zip
- 07650-1590
- Phone Number
- 201-585-1337
- Fax Number
- 201-585-2998
Provider Business Mailing Address Details
- Address
- 225 Broad Ave Ste 206
Palisades Park, NJ 07650-1590 - City
- Palisades Park
- State
- NJ
- Zip
- 07650-1590
- Phone Number
- 201-585-1337
- Fax Number
- 201-585-2998
License Information
- License Number
- 270A00465400
- License State
- NJ
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Palisades Park, NJ
View all Optometrists in Palisades Park →Frequently Asked Questions
What is the NPI number of Dr. Taewha C Moon, OD?
The NPI number of Dr. Taewha C Moon, OD is 1972603637. It was assigned on September 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Taewha C Moon, OD?
Dr. Taewha C Moon, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 270A00465400.
Where does Dr. Taewha C Moon, OD practice?
The practice location is 225 Broad Ave Ste 206, Palisades Park, NJ 07650-1590. The office can be reached at 201-585-1337 (phone) or 201-585-2998 (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 1972603637 directly on the NPPES registry website.