Active NPI
Gary Patrick Young, O.D.
- Optometrist
- Oklahoma City, OK
National Provider Identifier
1427109099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2117
- Practice address
- 12325 N Rockwell Ave
Oklahoma City, OK 73142-2702 - Phone
- (405) 728-3393
- Fax
- (405) 728-3454
- NPI assigned
- Jan 12, 2007
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2117 | OK | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 2117 | OK | |
| Sports Vision Optometrist | 152WS0006X | 2117 | OK | |
| Occupational Vision Optometrist | 152WX0102X | 2117 | OK |
Addresses
Primary practice location
12325 N Rockwell Ave
Oklahoma City, OK 73142-2702
Mailing address
12325 N Rockwell Ave
Oklahoma City, OK 73142-2702
Phone (405) 728-3393
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100760340A | Medicaid | OK | |
| 117187 | Other | OH | EYEMED VISION PLAN |
| 405782338 | Other | CA | VISION SERVICE PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12325 N Rockwell Ave
Oklahoma City, OK 73142-2702
Phone (405) 728-3393
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Eye Clinic LLC | Optometrist | Current | Accepting new patients |
Locations
12325 N Rockwell Ave
Oklahoma City, OK 73142
Phone (405) 728-3393
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, 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": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1427109099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12325 N ROCKWELL AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731422702",
"telephone_number": "405-728-3393",
"fax_number": "405-728-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12325 N ROCKWELL AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731422702",
"telephone_number": "405-728-3393",
"fax_number": "405-728-3454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "GARY",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2117",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OK",
"license": "2117",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "OK",
"license": "2117",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "OK",
"license": "2117",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100760340A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED VISION PLAN",
"identifier": "117187",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN",
"identifier": "405782338",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.