Individual provider Active NPI

Holly T Young, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1326359886
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC39 Issued in AL
Practice address
790 Montclair Rd
Suite 100
Birmingham, AL 35213-1966
Phone
(205) 592-3911
Fax
(205) 592-3537
NPI assigned
Jun 29, 2010
Last updated
Jun 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SC39 AL Primary

Addresses

Primary practice location

790 Montclair Rd
Suite 100
Birmingham, AL 35213-1966

Mailing address

790 Montclair Rd
Suite 100
Birmingham, AL 35213-1966
Phone (205) 592-3911

Other names 1

  • Mrs. Holly T Young Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20101015000062 AL Practitioner - Optometry 6507059136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Vision Center, LLCGroup PAC ID 5294753562, 8 clinicians

Practice addresses (Care Compare)

3928 Montclair Rd
Suite 100
Mountain BRK, AL 35213-2415
Phone (205) 592-3911

Merit-based Incentive Payment System (MIPS)

Final score
84.41 of 100Reported as group
Quality
93
Improvement activities
40
Cost
57.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC39ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Hematology Oncology Assoc LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: young@alabamavisioncenter.direct.eyemdemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1326359886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 MONTCLAIR RD",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131966",
            "telephone_number": "205-592-3911",
            "fax_number": "205-592-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 MONTCLAIR RD",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131966",
            "telephone_number": "205-592-3911",
            "fax_number": "205-592-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "HOLLY",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SC39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "YOUNG",
            "middle_name": "T",
            "prefix": "MRS.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.