Organization Active NPI

Young Eye Institute

  • Specialist
  • Lawton, OK
National Provider Identifier
1114025111
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13033 Issued in OK
Legal business name
YOUNG EYE INSTITUTE
Practice address
4214 SW Lee Blvd
Lawton, OK 73505-8340
Phone
(580) 353-5860
Fax
(580) 353-0792
NPI assigned
Sep 21, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Joseph J Young, M.D.NPI 1740214279
Title
Medical Director
Phone
(580) 353-5860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13033 OK Primary

Addresses

Primary practice location

4214 SW Lee Blvd
Lawton, OK 73505-8340

Mailing address

4214 SW Lee Blvd
Lawton, OK 73505-8340
Phone (580) 353-5860

Other identifiers 1

IdentifierTypeStateIssuer
100737060BMedicaidOK

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1114025111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058340",
            "telephone_number": "580-353-5860",
            "fax_number": "580-353-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058340",
            "telephone_number": "580-353-5860",
            "fax_number": "580-353-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "580-353-5860",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "13033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100737060B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.