Individual provider Active NPI

Falon S Young, OD

  • Optometrist
  • Rapid City, SD
National Provider Identifier
1295765055
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
626 Issued in SD
Practice address
2020 Jackson Blvd
Suite 1
Rapid City, SD 57702-3484
Phone
(605) 342-0777
Fax
(605) 342-7282
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 626 SD Primary

Addresses

Primary practice location

2020 Jackson Blvd
Suite 1
Rapid City, SD 57702-3484

Mailing address

2020 Jackson Blvd
Suite 1
Rapid City, SD 57702-3484
Phone (605) 342-0777

Other identifiers 1

IdentifierTypeStateIssuer
9203593MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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

Enrollment IDStateProvider typePAC IDDetails
I20060821000424 SD Practitioner - Optometry 6305849977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holec and Young Eye Care, LLPGroup PAC ID 6103807698, 5 clinicians

Practice addresses (Care Compare)

2020 Jackson Blvd
Rapid City, SD 57702-3483

2020 Jackson Blvd
Rapid City, SD 57702-3484
Phone (605) 342-0777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
626SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Holec and Young Eye Care, LLP Optometrist CurrentSince Sep 15, 2007 Accepting new patients

Locations

810 Mountain View Rd
Rapid City, SD 57702
Phone (605) 342-0777

2020 Jackson Blvd
Ste 1
Rapid City, SD 57702
Phone (605) 342-0777

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1295765055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 JACKSON BLVD",
            "address_2": "SUITE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023484",
            "telephone_number": "605-342-0777",
            "fax_number": "605-342-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 JACKSON BLVD",
            "address_2": "SUITE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023484",
            "telephone_number": "605-342-0777",
            "fax_number": "605-342-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "FALON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203593",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.