Kenneth A Young, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1488 Issued in TN

Practice address

205 Ward Cir
Brentwood, TN 37027-7552

Phone

(615) 373-0080

Fax

(615) 373-2848

NPI assigned

Sep 16, 2005

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Southern College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hermitage Eye Care, PLLCGroup PAC ID 0446576359, 48 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 and National Provider Directory roles.

• Hermitage Eye Care PLLC

  • Optometrist
  • Hermitage, TN
  • NPI 1275943052
  Medicare reassignment Care Compare group NPD
• Hermitage Eye Care PLLC

  • Optometrist
  • Brentwood, TN
  • NPI 1689479909
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184619009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WARD CIR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277552",
            "telephone_number": "615-373-0080",
            "fax_number": "615-373-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WARD CIR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277552",
            "telephone_number": "615-373-0080",
            "fax_number": "615-373-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3599062",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haoxin Yin, RN, MSN, PMHNP-BC
• Jenna Yockey
• Sheila Lynn Yokley, APN
• Charles Young, CNIM
• Christopher H Young, PT
• Kristina Young
• Laylah Aaliyah Young
• Sheldon Young
• Elizabeth A Youngblood, RN, APN
• Cynthia C Youree, M.D.

• Optometrist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.