Active NPI
Mary Beth Young, OD
- Optometrist
- Pensacola, FL
National Provider Identifier
1265528186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4186
- Practice address
- 6190 N Davis Hwy
Pensacola, FL 32504-6969 - Phone
- (850) 476-9236
- Fax
- (850) 476-9818
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 | OPC 4186 | FL | Primary |
Addresses
Primary practice location
6190 N Davis Hwy
Pensacola, FL 32504-6969
Mailing address
6190 N Davis Hwy
Pensacola, FL 32504-6969
Phone (850) 476-9236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20080416000245 | FL | Practitioner - Optometry | 4587742580 |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6190 N Davis Hwy
Pensacola, FL 32504-6969
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4186 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Eye Associates LLC | Optometrist | Current | Accepting new patients |
| Ophthalmology Consultants PA | Past | Accepting new patients |
Locations
500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808
Interoperability endpoints
- myoung@esp.intellechartdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Margate, FL
- NPI 1114199205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1265528186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6190 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325046969",
"telephone_number": "850-476-9236",
"fax_number": "850-476-9818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6190 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325046969",
"telephone_number": "850-476-9236",
"fax_number": "850-476-9818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MARY BETH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.