Mmy Shelbyville PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MMY SHELBYVILLE PLLC

Doing business as

Bowersox Vision Center

Practice address

403 Washington Street
Shelbyville, KY 40065-1127

Phone

(502) 647-3937

NPI assigned

Oct 15, 2024

Organization subpart

No

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

Authorized official

Name

Stuart Boyd Young, ODNPI 1154706521

Title

Optometrist/Owner

Phone

(502) 780-2815

Specialties & licenses 1

Addresses

Other names 1

• Bowersox Vision Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stuart Boyd Young, O.D.

  • Optometrist
  • Shelbyville, KY
  • NPI 1154706521
  NPD Authorized official

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1265252282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1374",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400661374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WASHINGTON STREET",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651127",
            "telephone_number": "502-647-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMY SHELBYVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "502-780-2815",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowersox Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Addison Kate Miskell
• Cher D Mitchell, PHARM.D.
• David Christopher Mitchell, ATR-BC, LPAT
• Laura Mize
• Mmy Louisville (Bowersox Vision Center)
• Henry Edward Moeller, M.D.
• Penny J Moers, LCSW
• Luke Moix, O.D.
• McKyah Anne Molina, BS
• Jessica C Monroe

• Optometrist in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.