Individual provider Active NPI

Michael J Young, OPTOMETRIST

  • Optometrist
  • Santa Maria, CA
National Provider Identifier
1063458727
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10256 Issued in CA
Practice address
4850 S Bradley Rd
Santa Maria, CA 93455-5071
Phone
(805) 937-9532
Fax
(805) 937-6009
NPI assigned
Jun 21, 2006
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10256 CA Primary
Orthoptist 156FX1900X 10256 CA

Addresses

Primary practice location

4850 S Bradley Rd
Santa Maria, CA 93455-5071

Mailing address

910 E Stowell Rd
Santa Maria, CA 93454-7001
Phone (805) 925-2637

Other practice location 1

327 E Plaza Dr Ste 1B
Santa Maria, CA 93454-6930
Phone (805) 922-1993

Other names 1

  • Dr. Michael J Young Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111201000206 CA Practitioner - Optometry 6305955014 Reassigns benefits to 1 organization
Practice locations: Santa Maria, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4850 S Bradley Rd
Suite A2
Orcutt, CA 93455-5071
Phone (805) 937-9532

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
97.86
Improvement activities
40
Cost
75.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10256CAMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Eyecare Medical Group a Medical Corporation Optometrist CurrentSince Sep 26, 2023 Accepting new patients
Elite Eyecare Medical Group a Medical Corporation Optometrist Current Accepting new patients

Locations

425 W Central Ave
Ste 102
Lompoc, CA 93436
Phone (805) 736-2020

4850 S Bradley Rd
Ste A2
Santa Maria, CA 93455
Phone (805) 937-9532

910 E Stowell Rd
Santa Maria, CA 93454
Phone (805) 925-2637

2040 Viborg Rd
Ste 240
Solvang, CA 93463
Phone (805) 688-0707

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: michael.young.1@17363.direct.athenahealth.com
  • Direct secure messaging: michael.young@direct.shepardeye.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1063458727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E STOWELL RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547001",
            "telephone_number": "805-925-2637",
            "fax_number": "805-925-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 S BRADLEY RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555071",
            "telephone_number": "805-937-9532",
            "fax_number": "805-937-6009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 E Plaza Dr Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934546930",
            "country_code": "US",
            "telephone_number": "805-922-1993",
            "fax_number": "805-922-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10256",
            "primary": true
        },
        {
            "code": "156FX1900X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Orthoptist",
            "state": "CA",
            "license": "10256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "YOUNG",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "OPTOMETRIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.