Active NPI
Eagle Rock Eyecare LLC
- Optometrist
- West Orange, NJ
National Provider Identifier
1265229504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EAGLE ROCK EYECARE LLC
- Practice address
- 235 Prospect Ave
West Orange, NJ 07052-4228 - Phone
- (973) 559-7903
- NPI assigned
- Apr 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Heesung Yoon, OD
- Title
- Ceo / Optometrist
- Phone
- (858) 386-8380
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
235 Prospect Ave
West Orange, NJ 07052-4228
Mailing address
PO Box 333
West Orange, NJ 07052-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260417001324 | NJ | Part B Supplier - Clinic/Group Practice | 8921574898 |
Receives reassigned benefits from 1 practitioner Practice locations: West Orange, NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777507200000",
"number": "1265229504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 333",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070520333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 PROSPECT AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524228",
"telephone_number": "973-559-7903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE ROCK EYECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-21",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A",
"authorized_official_last_name": "YOON",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "HEESUNG",
"authorized_official_title_or_position": "CEO / OPTOMETRIST",
"authorized_official_telephone_number": "858-386-8380",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.