Eagle Rock Eyecare LLC
NPI 1265229504ActiveOrganization· Optometrist· West Orange, NJ
Optometrist in West Orange, New Jersey, registered in NPPES in April 2025. The authorized official on file is Peter Heesung Yoon, OD, Ceo / Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265229504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2025 |
| Last updated in NPPES | Oct 29, 2026 |
| Certified by provider | Oct 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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