Active NPI
Steven R. Young, Ocularist, Inc.
- Prosthetic/Orthotic Supplier
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- STEVEN R. YOUNG, OCULARIST, INC.
- Practice address
- 411 30TH St
Suite 512
Oakland, CA 94609-3301 - Phone
- (510) 836-2123
- Fax
- (510) 836-0383
- NPI assigned
- Dec 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven R. Young, B.C.O.
- Title
- Ocularist/Owner
- Phone
- (510) 836-2123
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
411 30TH St
Suite 512
Oakland, CA 94609-3301
Mailing address
411 30TH St
Suite 512
Oakland, CA 94609-3301
Phone (510) 836-2123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ76594Z | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930000467 | CA | DME Supplier - Prosthetic Personnel | 8022135144 | Practice locations: Oakland, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Steven R Young Ocularist Inc | Facial Prostheses|Ocular Prostheses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
411 30th St
Ste 512
Oakland, CA 94609
Phone (510) 836-2123
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ocularist
- Oakland, CA
- NPI 1154498723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197244800000",
"number": "1346423639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 30TH ST",
"address_2": "SUITE 512",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093301",
"telephone_number": "510-836-2123",
"fax_number": "510-836-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 30TH ST",
"address_2": "SUITE 512",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093301",
"telephone_number": "510-836-2123",
"fax_number": "510-836-0383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN R. YOUNG, OCULARIST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-10",
"last_updated": "2007-12-10",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OCULARIST/OWNER",
"authorized_official_telephone_number": "510-836-2123",
"authorized_official_credential": "B.C.O."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ76594Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.