Active NPI
Connor Young
- Optometrist
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002871
- Practice address
- 3192 Willow Creek Rd
Prescott, AZ 86301-6610 - Phone
- (928) 445-1234
- NPI assigned
- Jun 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-002871 | AZ | Primary |
Addresses
Primary practice location
3192 Willow Creek Rd
Prescott, AZ 86301-6610
Mailing address
18581 E Strawberry Dr
Queen Creek, AZ 85142-3535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3192 Willow Creek Rd
Prescott, AZ 86301-6610
Phone (928) 445-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Eye Center, LTD | Optometrist | Current | Accepting new patients |
| Southwestern Eye Center LTD | Current | Accepting new patients |
Locations
3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555
399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504
270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202
4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400
3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234
3223 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-1510
63 S Rockford Dr
Ste 220
Tempe, AZ 85288
5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888
2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100
Interoperability endpoints
- connor.young.p20@direct.avp.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Scottsdale, AZ
- NPI 1023063187
-
- Durable Medical Equipment & Medical Supplies
- Tempe, AZ
- NPI 1558102608
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1023901782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18581 E STRAWBERRY DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851423535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3192 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863016610",
"telephone_number": "928-445-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CONNOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.