Young Eye Clinic, a Professional Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

YOUNG EYE CLINIC, A PROFESSIONAL MEDICAL CORPORATION

Practice address

204 N Magdalen SQ
Abbeville, LA 70510-4645

Phone

(337) 893-4452

Fax

(337) 893-7870

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Emile D Broussard, MD

Title

Owner

Phone

(337) 893-4452

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1073550448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N MAGDALEN SQ",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104645",
            "telephone_number": "337-893-4452",
            "fax_number": "337-893-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAGDALEN SQ",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104645",
            "telephone_number": "337-893-4452",
            "fax_number": "337-893-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG EYE CLINIC, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "EMILE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-893-4452",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0583490001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney L Atchetee LTD
• Bethany Williams
• Kristiana Williams, LAT, ATC, NREMT
• Teddi Poche' Willis, APRN, FNP
• Estifany Veloso Yanez, P.T.
• Young Eye Surgery Center
• Robert Jackson Young III, MD

• Ophthalmology Physician in Abbeville, LA
• Providers in Abbeville, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.