Individual provider Active NPI

Robert Adam Young, O.D.

  • Optometrist
  • Duluth, GA
National Provider Identifier
1366857807
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002818 Issued in GA
Practice address
2730 Peachtree Industrial Blvd Ste 206
Duluth, GA 30097-8628
Phone
(404) 793-3937
Fax
(404) 793-4040
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002818 GA Primary

Addresses

Primary practice location

2730 Peachtree Industrial Blvd Ste 206
Duluth, GA 30097-8628

Mailing address

2730 Peachtree Industrial Blvd Ste 206
Duluth, GA 30097-8628
Phone (404) 793-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20171122001331 GA Practitioner - Optometry 9032419288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Class Eye Care LLCGroup PAC ID 0547680597, 2 clinicians
Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

2730 Peachtree Industrial Blvd
Suite 206
Duluth, GA 30097-8628
Phone (404) 793-3937

9801 Hwy 92
Suite 100
Woodstock, GA 30188-6454
Phone (770) 592-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Sep 19, 2017 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
First Class Eye Care, LLC Optometrist CurrentSince Jun 3, 2020 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Sep 19, 2017 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients

Locations (25 of 26)

3975 Old Milton Pkwy
Ste 2
Alpharetta, GA 30005
Phone (678) 624-7766

2184 Henderson Mill Rd NE
Ste 12B
Atlanta, GA 30345
Phone (770) 491-1255

860 Peachtree St NE
Ste F
Atlanta, GA 30308
Phone (404) 853-5008

3155 Cobb Pkwy SE
Ste 110
Atlanta, GA 30339
Phone (770) 644-0012

2549 Piedmont Rd NE
Ste 120
Atlanta, GA 30324
Phone (404) 467-0717

800 Peachtree St NE
Ste E1
Atlanta, GA 30308
Phone (678) 732-3432

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

217 Riverstone Dr
Canton, GA 30114
Phone (770) 345-5220

123 W Main St
#A
Cartersville, GA 30120
Phone (470) 888-2044

6490 Veterans Pkwy
Columbus, GA 31909
Phone (706) 653-6200

335 W Ponce de Leon Ave
Ste F
Decatur, GA 30030
Phone (404) 377-3937

6555 Sugarloaf Pkwy
Ste 305
Duluth, GA 30097
Phone (773) 495-0937

2730 Peachtree Industrial Blvd
Ste 206
Duluth, GA 30097
Phone (404) 721-3268

2730 Peachtree Industrial Blvd
Ste 101
Duluth, GA 30097
Phone (404) 548-8850

1415 Wooten Lake Rd NW
Ste 100
Kennesaw, GA 30144
Phone (770) 424-2020

875 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043
Phone (770) 822-2199

1044 Avalon Pkwy
McDonough, GA 30253
Phone (770) 898-7078

1570 Old Alabama Rd
Ste 106
Roswell, GA 30076
Phone (770) 557-0039

5940 Roswell Rd
Sandy Springs, GA 30328
Phone (404) 843-2020

1000 Peachtree Industrial Blvd
Ste 14
Suwanee, GA 30024
Phone (770) 271-0611

1000 Peachtree Industrial Blvd
Suwanee, GA 30024
Phone (770) 271-0611

9801 Highway 92
Woodstock, GA 30188

9801 Highway 92
Ste 100
Woodstock, GA 30188
Phone (770) 592-7100

12924 Highway 92
Ste 100
Woodstock, GA 30188
Phone (678) 717-9121

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1366857807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 PEACHTREE INDUSTRIAL BLVD STE 206",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978628",
            "telephone_number": "404-793-3937",
            "fax_number": "404-793-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PEACHTREE INDUSTRIAL BLVD STE 206",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978628",
            "telephone_number": "404-793-3937",
            "fax_number": "404-793-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ROBERT",
        "middle_name": "ADAM",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.