Lisa M Young, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009798 Issued in IL

Practice address

2640 Patriot Blvd Ste 100
Glenview, IL 60026

Phone

(847) 510-6000

Fax

(847) 832-0905

NPI assigned

Aug 30, 2005

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Female

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 IL

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

Illinois College of Optometry at Chicago, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chicago Glaucoma Consultants LTDGroup PAC ID 6608871678, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.88 of 100Reported as group

Quality

100

Improvement activities

40

Cost

72.94

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lyoung@cgc.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chicago Glaucoma Consultants LTD

  • Ophthalmology Physician
  • Glenview, IL
  • NPI 1386661379
  Medicare reassignment Care Compare group NPD
• Koziol-Thoms Eye Associates S.C.

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1619901865
  Medicare reassignment NPD

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1235122748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD STE 100",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268076",
            "telephone_number": "847-510-6000",
            "fax_number": "847-832-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD STE 100",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60026",
            "telephone_number": "847-510-6000",
            "fax_number": "847-832-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3241 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606163849",
            "country_code": "US",
            "telephone_number": "312-225-6200",
            "fax_number": "312-949-7660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009798",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith N Yoshino, D.D.S
• Thea L Yosowitz, M.D.
• Young Clinic Inc
• Corey Young, OTR/L
• Latoya Marie Young, COTA/L
• Mary K Young, MD
• Maureen Beth Young, OTR/L; MS
• Youth Services of Glenview-Northbrook
• Yang Yu
• Yasong Yu, MD

• Optometrist in Glenview, IL
• Providers in Glenview, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.