Dr. Taewha Carolyn Moon is a Palisades Park, New Jersey based female Optometrist who is specialized in Optometry. Active license number of Dr. Taewha Carolyn Moon is 270A00465400 for Optometry in New Jersey. Dr. Taewha Carolyn Moon examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Taewha Carolyn Moon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Female
Practice Address:
225 Broad Ave Ste 206, Palisades Park, New Jersey, 07650-1590
Phone:
201-585-1337
Fax:
201-585-2998
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1972603637
NPI Enumeration Date:
23 Sep, 2006
NPI Last Update On:
09 Mar, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Taewha Carolyn Moon are as mentioned below.
License Number
Specialization
State
Status
270A00465400
Optometry
New Jersey
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Taewha Carolyn Moon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5084601
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
225 Broad Ave Ste 206, Palisades Park, New Jersey
Zip:
07650-1590
Phone Number:
201-585-1337
Fax Number:
201-585-2998
Patients can reach Dr. Taewha Carolyn Moon at 225 Broad Ave Ste 206, Palisades Park, New Jersey or can call to book an appointment on 201-585-1337. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.