Active NPI
Youngson Linda Joe, OD
- Optometrist
- Dallas, TX
National Provider Identifier
1255413340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7005TG
- Practice address
- 13331 Preston Rd
1068
Dallas, TX 75240 - Phone
- (972) 458-7979
- Fax
- (972) 458-7503
- NPI assigned
- Oct 19, 2006
- Last updated
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 7005TG | TX | Primary |
Addresses
Primary practice location
13331 Preston Rd
1068
Dallas, TX 75240
Mailing address
6301 Stonewood Dr
122
Plano, TX 75024
Phone (972) 458-7979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070913000038 | TX | Practitioner - Optometry | 1052405644 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7005TG | TX | MD | Optometrist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1255413340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 STONEWOOD DR",
"address_2": "122",
"city": "PLANO",
"state": "TX",
"postal_code": "75024",
"telephone_number": "972-458-7979",
"fax_number": "972-458-7503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13331 PRESTON RD",
"address_2": "1068",
"city": "DALLAS",
"state": "TX",
"postal_code": "75240",
"telephone_number": "972-458-7979",
"fax_number": "972-458-7503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOE",
"first_name": "YOUNGSON",
"middle_name": "LINDA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7005TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.