PETER HEESUNG YOON OD
NPI 1578135356
Optometrist in West Orange, NJ

Active since July 12, 2021PECOS EnrolledAccepts Medicare Assignment
235 PROSPECT AVE, WEST ORANGE, NJ 07052(858) 386-8380 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 23, 2025, Sep 5, 2025, Sep 28, 2024 and 7 more (10 updates tracked since 2021).

About Peter Heesung Yoon Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER HEESUNG YOON OD (NPI 1578135356) is an individual optometrist in West Orange, New Jersey, licensed in New Jersey (27OA00706500) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Maywood, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1578135356
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePETER HEESUNG YOONCredential: OD
Location Address235 PROSPECT AVEWest Orange, NJ 07052-4228
Mailing AddressPo Box 333West Orange, NJ 07052-0333
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 12, 2021
Last NPPES UpdateDecember 23, 202510 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1578135356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NJ · 27OA00706500✔ Licensed in NY · RT009362
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
235 PROSPECT AVE, West Orange, NJ 07052

Secondary Practice Location 1

Location 163 W Pleasant AveMaywood, NJ 07607-1334 · Phone (201) 845-4700

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Heesung Yoon Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234525288
PECOS Enrollment IDI20220331001009
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Peter Yoon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
235 PROSPECT AVE
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
52 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
235 PROSPECT AVE
WEST ORANGE, NJ 07052
Pharmacist
235 PROSPECT AVE
WEST ORANGE, NJ 07052
Optometrist
235 PROSPECT AVE
WEST ORANGE, NJ 07052
Pharmacist
235 PROSPECT AVE
WEST ORANGE, NJ 07052
Technician/Technologist (Optician)
235 PROSPECT AVE
WEST ORANGE, NJ 07052
Chiropractor
235 PROSPECT AVE
WEST ORANGE, NJ 07052
Chiropractor
235 PROSPECT AVE
WEST ORANGE, NJ 07052
Pharmacy
235 PROSPECT AVE
WEST ORANGE, NJ 07052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Yoon's NPI number?

The NPI number for Peter Yoon is 1578135356. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Peter Yoon located?

Peter Yoon practices at 235 Prospect Ave, West Orange, NJ 07052. The listed phone number is (858) 386-8380.

What is Peter Yoon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Peter Yoon enrolled in Medicare?

Yes. Peter Yoon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Peter Yoon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Yoon reassigns Medicare benefits to Eagle Rock Eyecare LLC (West Orange, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Yoon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Yoon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 10 other insurers list Peter Yoon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Yoon was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.