Individual provider Active NPI

Youngsuk Youn, O.D.

  • Optometrist
  • Westland, MI
National Provider Identifier
1316918022
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004231 Issued in MI
Practice address
35184 Central City Pkwy
Westland, MI 48185-6215
Phone
(734) 427-5200
Fax
(734) 427-8136
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004231 MI Primary
Corneal and Contact Management Optometrist 152WC0802X 4901004231 MI

Addresses

Primary practice location

35184 Central City Pkwy
Westland, MI 48185-6215

Mailing address

39150 Citation PL
Apt 34102
Farmington Hills, MI 48331-4900
Phone (248) 661-4706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040310001287 MI Practitioner - Optometry 1951290857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

3271 Union Lake Rd
Commerce Township, MI 48382-4550
Phone (248) 360-0121

35184 Central City Pkwy
Westland, MI 48185-6215
Phone (734) 427-5200

38487 W 10 Mile Rd
Farmington Hills, MI 48335-2809
Phone (248) 477-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004231MIMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor LLC Optometrist CurrentSince Mar 23, 2009 Accepting new patients
Pcor, LLC Optometrist CurrentSince Mar 23, 2009 Accepting new patients
Pearle Vision Inc Past Accepting new patients
Mid Michigan Eye Care Center, PC Optometrist PastSince Apr 1, 1994 Accepting new patients
Pearle Vision Inc Optometrist Past Accepting new patients

Locations

22500 Haggerty Rd
Farmington Hills, MI 48335
Phone (248) 477-9300

40895 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 233-6300

29350 Southfield Rd
Southfield, MI 48076
Phone (248) 569-9017

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Interoperability endpoints

  • Direct secure messaging: yyoun61952@direct.hfhs.org

Organizations & group practices 5

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1316918022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39150 CITATION PL",
            "address_2": "APT 34102",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483314900",
            "telephone_number": "248-661-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35184 CENTRAL CITY PKWY",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481856215",
            "telephone_number": "734-427-5200",
            "fax_number": "734-427-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUN",
        "first_name": "YOUNGSUK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004231",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901004231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.