Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brooke Goonetilleke-Alvarado, OD

Individual provider Optometrist · NPI 1790496826

Brooke Goonetilleke-Alvarado, OD is an Optometry in Fair Lawn, New Jersey. Graduated from State University of New York - State College Optometry in 2022, 4 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
4
Trained at
State University of New York - State College Optometry
Licensed in
NJ, NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

17-17 Route 208 Ste 350
Fair Lawn, NJ 07410-2819
Phone: (908) 291-1036
Fax: (833) 760-1845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 27OA00714900 (NJ)
Optometrist Taxonomy 152W00000X · Licence TUV009604-01 (NY)

Record details

NPI number1790496826
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 9, 2022
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2022 (4 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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