Active NPI
Joseph J Young
- Durable Medical Equipment & Medical Supplies
- Lawton, OK
National Provider Identifier
1245348598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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 INSTITUTE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100808390A | Medicaid | OK |
Other names 1
- Young Optical Center
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.
-
- Specialist
- Lawton, OK
- NPI 1114025111
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.