Eagle Rock Eyecare LLC
Optometrist in West Orange, NJ. Organization (NPI-2).
NPI number1265229504
StatusActive
Last updated in NPPESOct 29, 2026
Details
- NPI
- 1265229504
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagle Rock Eyecare LLC
- Organization subpart
- No
- Enumeration date
- Apr 21, 2025
- Certification date
- Oct 29, 2026
- Last updated
- Oct 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
235 Prospect AveWest Orange, NJ 07052-4228
Phone 973-559-7903 · Fax 973-319-5055
Mailing address
Po Box 333West Orange, NJ 07052-0333
Authorized official
Peter Heesung Yoon
Ceo / Optometrist
8583868380
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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