Active NPI
Jessie Xiaoying Young, OD
- Optometrist
- Brockton, MA
National Provider Identifier
1235066457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT8441
- Practice address
- 940 Belmont St
Brockton, MA 02301-5568 - Phone
- (508) 583-4500
- NPI assigned
- May 4, 2026
- Sex
- Female
- Sole proprietor
- No
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 | OPT8441 | MA | Primary |
Addresses
Primary practice location
940 Belmont St
Brockton, MA 02301-5568
Mailing address
2115 Overlook CT
Bel Air, MD 21015-6398
Phone (443) 764-0665
Other practice location 1
27 Memorial Pkwy
Randolph, MA 02368-4539
Phone (781) 986-7400
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1235066457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 OVERLOOK CT",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210156398",
"telephone_number": "443-764-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 BELMONT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015568",
"telephone_number": "508-583-4500"
}
],
"practiceLocations": [
{
"address_1": "27 Memorial Pkwy",
"address_purpose": "LOCATION",
"city": "Randolph",
"state": "MA",
"postal_code": "023684539",
"country_code": "US",
"telephone_number": "781-986-7400",
"fax_number": "781-986-5201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "JESSIE",
"middle_name": "XIAOYING",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-04",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "OPT8441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.