M D Young OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

3854TG Issued in TX

Legal business name

M D YOUNG OD PA

Doing business as

Cove Eyecare

Practice address

304 E Highway 190
Copperas Cove, TX 76522-2939

Phone

(254) 547-2020

Fax

(254) 542-6060

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Micheline D Young, ODNPI 1265537666

Title

Owner

Phone

(254) 547-2683

Specialties & licenses 1

Addresses

Other names 1

• Cove Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Micheline D Young, OD

  • Optometrist
  • Copperas Cove, TX
  • NPI 1265537666
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1265551436",
    "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": {
        "organization_name": "M D YOUNG OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MICHELINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-547-2683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3854TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cove Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• LGGM Express LLC
• Little Sprouts Therapy LLC
• Teresa Margarita Lopez, PT
• Silas Michael Lowery
• LSPD at Cove PLLC (Lone Star Pediatric Dental and Braces)
• Annastecia Ogechi Madu
• Ayesha Maqsood, D.D.S
• Naisy Ivette Marrero Ramos, FNP
• Diane Elaine Masullo, MS, LPC, LMFT
• Jakara Adrian Mayfield, MPT

• 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 Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.