Diana Kim Thompson Young, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003537 Issued in WA

Practice address

128 E Washington
Sequim, WA 98382

Phone

(360) 683-3389

Fax

(360) 683-7069

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sequim Vision Clinic PSGroup PAC ID 3274421342, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sequim Vision Clinic PS

  • Optometrist
  • Sequim, WA
  • NPI 1700070158
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114005592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983820549",
            "telephone_number": "360-683-3389",
            "fax_number": "360-683-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E WASHINGTON",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "98382",
            "telephone_number": "360-683-3389",
            "fax_number": "360-683-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON YOUNG",
        "first_name": "DIANA",
        "middle_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023174",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "133203",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Thayer, M.D.
• Therapeutic Associates Inc (Angeles Therapy Services in Sequim)
• Courtney N Thomas, LMT
• Hanna Thomas
• Robin Erich Thomas, D.C.
• Renah Thompson
• Katijean Thorpe, LCSW
• Thrifty Payless Inc (Rite Aid Pharmacy 05265)
• Edward Randal Tierney, DMD
• Autumn Timby, COTA/L

• Optometrist in Sequim, WA
• Providers in Sequim, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.