Individual provider · Type 1 NPI

Brooke Goonetilleke-Alvarado, OD

Optometrist · Fair Lawn, NJ

NPI number 1790496826 Active

Practice location

17-17 Route 208 Ste 350
Fair Lawn, NJ 07410-2819

Fax (833) 760-1845

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XTUV009604-01 (NY)
Optometrist Primary 152W00000X27OA00714900 (NJ)

Optometrist: 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 e…

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About NPI 1790496826

Brooke Goonetilleke-Alvarado, OD's National Provider Identifier is 1790496826, issued on Dec 9, 2022. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Fair Lawn, NJ. The record was last updated on Mar 16, 2026.