Young Eyes, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002528 Issued in CT

Legal business name

YOUNG EYES, LLC

Doing business as

Village Eye Care

Practice address

25 Church Hill Rd Unit 205
Newtown, CT 06470-1639

Phone

(203) 733-7877

NPI assigned

Sep 19, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Keith Young, OD

Title

Optometrist

Phone

(203) 733-7877

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Village Eye Care Doing business as

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1225224694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAWNWOOD RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821400",
            "telephone_number": "203-733-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHURCH HILL RD UNIT 205",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701639",
            "telephone_number": "203-733-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG EYES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "203-733-7877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT THERAPEUTIC",
            "identifier": "29317",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT OD LICENSE",
            "identifier": "002528",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Newtown, CT
• Providers in Newtown, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.