Harris R.Young,O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT7395T Issued in CA

Legal business name

HARRIS R.YOUNG,O.D.

Practice address

1311 W Steele LN
Santa Rosa, CA 95403-2956

Phone

(707) 576-1961

Fax

(707) 576-1036

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Harris R Young, O.D.

Title

President

Phone

(707) 576-1961

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1174673727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 W STEELE LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032956",
            "telephone_number": "707-576-1961",
            "fax_number": "707-576-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W STEELE LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032956",
            "telephone_number": "707-576-1961",
            "fax_number": "707-576-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS R.YOUNG,O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-576-1961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7395T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DS4522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Alan Harper
• Nathan Daniel Harper
• Reid Martin Harper
• Christine A Harrington
• Harris and Leibert Group
• Abdul Kezin Harris, M.D.
• Alice Marie Harris, FNP
• Daniel Harris
• David Glenn Harris, D.D.S.
• Dawn Erica Harris, PT

• Optometrist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.