Organization Active NPI

Michael E Young

  • Optometrist
  • Castle Rock, CO
National Provider Identifier
1114353133
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0001194 Issued in CO
Legal business name
MICHAEL E YOUNG
Practice address
834 S Perry St Ste E
Castle Rock, CO 80104-1941
Phone
(303) 688-0290
Fax
(303) 814-8348
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Michael E Young, ODNPI 1497843957
Title
Owner
Phone
(410) 507-3129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT.0001194 CO Primary

Addresses

Primary practice location

834 S Perry St Ste E
Castle Rock, CO 80104-1941

Mailing address

545 3Rd St Unit 586
Monument, CO 80132-4524
Phone (410) 507-3129

National Provider Directory

National Provider Directory

Locations

545 3rd St
Unit 586
Monument, CO 80132

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1114353133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 3RD ST UNIT 586",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801324524",
            "telephone_number": "410-507-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 S PERRY ST STE E",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041941",
            "telephone_number": "303-688-0290",
            "fax_number": "303-814-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E YOUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-507-3129",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0001194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.