Organization Active NPI

Young Professional Optometry Corporation

  • Optometrist
  • Newark, CA
National Provider Identifier
1285225714
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
YOUNG PROFESSIONAL OPTOMETRY CORPORATION
Practice address
39608 Eureka Dr
Newark, CA 94560-4805
Phone
(510) 455-8168
NPI assigned
Jan 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Esther Young, OD
Title
President
Phone
(510) 455-8168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

39608 Eureka Dr
Newark, CA 94560-4805

Mailing address

39608 Eureka Dr
Newark, CA 94560-4805
Phone (510) 455-8168

National Provider Directory

National Provider Directory

Locations

39608 Eureka Dr
Newark, CA 94560
Phone (415) 569-0135

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1285225714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39608 EUREKA DR",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945604805",
            "telephone_number": "510-455-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39608 EUREKA DR",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945604805",
            "telephone_number": "510-455-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG PROFESSIONAL OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-455-8168",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.