Organization Active NPI

Joseph J Young

  • Durable Medical Equipment & Medical Supplies
  • Lawton, OK
National Provider Identifier
1245348598
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JOSEPH J YOUNG
Practice address
4214 SW Lee Blvd
Lawton, OK 73505-8340
Phone
(580) 353-5860
Fax
(580) 353-0792
NPI assigned
Aug 28, 2006
Organization subpart
Yes
Parent organization
YOUNG EYE INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Joseph J. Young, M.D.
Title
Medical Director
Phone
(580) 353-5860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4214 SW Lee Blvd
Lawton, OK 73505-8340

Mailing address

4214 SW Lee Blvd
Lawton, OK 73505-8340
Phone (580) 353-5860

Other identifiers 1

IdentifierTypeStateIssuer
100808390AMedicaidOK

Other names 1

  • Young Optical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Young Eye Institute

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1245348598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058340",
            "telephone_number": "580-353-5860",
            "fax_number": "580-353-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058340",
            "telephone_number": "580-353-5860",
            "fax_number": "580-353-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J YOUNG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG EYE INSTITUTE",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "580-353-5860",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100808390A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Optical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.