BROOKE GOONETILLEKE-ALVARADO OD
NPI 1790496826
Optometrist in Fair Lawn, NJ

Q: What is Brooke Goonetilleke-alvarado's NPI number?

The NPI number for Brooke Goonetilleke-alvarado is 1790496826. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Q: What is Brooke Goonetilleke-alvarado's specialty?

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

Active since December 09, 2022PECOS EnrolledAccepts Medicare Assignment

17-17 ROUTE 208 STE 350, FAIR LAWN, NJ 07410(908) 291-1036(833) 760-1845 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 16, 2026, Oct 9, 2025, Sep 10, 2024 and 4 more (7 updates tracked since 2022).

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About Brooke Goonetilleke-alvarado Od NPPES

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

BROOKE GOONETILLEKE-ALVARADO OD (NPI 1790496826) is an individual optometrist in Fair Lawn, New Jersey, licensed in New Jersey (27OA00714900) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2022).

NPPES Registry Identity

NPI1790496826

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameBROOKE GOONETILLEKE-ALVARADOCredential: OD

Location Address17-17 ROUTE 208 STE 350Fair Lawn, NJ 07410-2819

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104

Phone(908) 291-1036

Fax(833) 760-1845

Sole ProprietorNo

Medical School CMSState University Of New York - State College OptometryGraduated 2022

Enumeration DateDecember 9, 2022

Last NPPES UpdateMarch 16, 20267 updates tracked since enumeration

NPPES CertifiedMarch 16, 2026

✔ NPI 1790496826 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 · 27OA00714900✔ Licensed in NY · TUV009604-01

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.

17-17 ROUTE 208 STE 350, Fair Lawn, NJ 07410

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Brooke Goonetilleke-alvarado 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 ID4880058940

PECOS Enrollment IDI20230908000571

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 Reassignments

Medicare enrollment records show Brooke Goonetilleke-alvarado reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eyewellniss

17 mi

Health Service

112 EISENHOWER PKWY STE 44
Livingston, NJ 07039

Reassigned Medicare billing, New Jersey enrollment
14 clinicians in this Medicare group

NPI 1578298535 (973) 535-3344

Summit Medical Group PA

24 mi

Multi-Specialty

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922

Reassigned Medicare billing, New Jersey enrollment
1,184 clinicians in this Medicare group

NPI 1942254347 (908) 273-4300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 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.

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 Brooke Goonetilleke-alvarado's NPI number?

The NPI number for Brooke Goonetilleke-alvarado is 1790496826. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Where is Brooke Goonetilleke-alvarado located?

Brooke Goonetilleke-alvarado practices at 17-17 Route 208 Ste 350, Fair Lawn, NJ 07410. The listed phone number is (908) 291-1036.

What is Brooke Goonetilleke-alvarado's specialty?

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

Is Brooke Goonetilleke-alvarado enrolled in Medicare?

Yes. Brooke Goonetilleke-alvarado 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 organizations bill Medicare for Brooke Goonetilleke-alvarado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Goonetilleke-alvarado reassigns Medicare benefits to 2 organizations: Eyewellniss (Livingston, NJ) and Summit Medical Group PA (Berkeley Heights, NJ). Each 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 Brooke Goonetilleke-alvarado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooke Goonetilleke-alvarado accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Brooke Goonetilleke-alvarado 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 Brooke Goonetilleke-alvarado was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.