Micheline D Young, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3854TG Issued in TX

Practice address

304 E Highway 190
Copperas Cove, TX 76522-2939

Phone

(254) 547-2020

Fax

(254) 542-6060

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Micheline D Taylor Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• M D Young OD PA

  • Optometrist
  • Copperas Cove, TX
  • NPI 1265551436
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1265537666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E HIGHWAY 190",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222939",
            "telephone_number": "254-547-2683",
            "fax_number": "254-547-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E HIGHWAY 190",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222939",
            "telephone_number": "254-547-2020",
            "fax_number": "254-542-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MICHELINE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3854TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164318101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELINE",
            "last_name": "TAYLOR",
            "middle_name": "D",
            "prefix": "MRS.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Petra Wyche, FNP
• Lauren Yam, PHARMD
• Sarah Elaine Yawn, DPT
• Esther Bora Yoon
• Mary Elizabeth Young, LMFT
• Indy Marie Zimmer, PTA

• Optometrist in Copperas Cove, TX
• Providers in Copperas Cove, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.

Verify at the official NPI Registry.