Active NPI
Karen D Young, OD
- Optometrist
- Yuma, AZ
National Provider Identifier
1194919985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 546
- Practice address
- 1462 S Pacific Ave
3150 S 4TH Ave
Yuma, AZ 85365-1733 - Phone
- (928) 783-9296
- NPI assigned
- Sep 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 546 | AZ | Primary |
Addresses
Primary practice location
1462 S Pacific Ave
3150 S 4TH Ave
Yuma, AZ 85365-1733
Mailing address
11279 S Glenwood Ave # 11075
Yuma, AZ 85367-6825
Phone (928) 257-8687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 546 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1194919985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11279 S GLENWOOD AVE # 11075",
"city": "YUMA",
"state": "AZ",
"postal_code": "853676825",
"telephone_number": "928-257-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1462 S PACIFIC AVE",
"address_2": "3150 S 4TH AVE",
"city": "YUMA",
"state": "AZ",
"postal_code": "853651733",
"telephone_number": "928-783-9296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "KAREN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.