Glenn Young, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003268 Issued in MI

Practice address

550 Forest Ave Ste 12
Plymouth, MI 48170-1769

Phone

(734) 455-3340

Fax

(734) 254-9230

NPI assigned

Feb 8, 2007

Last updated

Feb 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarity Forest PLLCGroup PAC ID 0042757973, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clarity Forest, PLLC

  • Optometrist
  • Plymouth, MI
  • NPI 1598510463
  Medicare reassignment Care Compare group NPD
• Monroe Vision Source, PLC

  dba Donahue Eyecare

  • Clinic/Center
  • Monroe, MI
  • NPI 1174920748
  Medicare reassignment
• Forest Place Optical LLC

  • Optometrist
  • Plymouth, MI
  • NPI 1750601258
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1427198126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FOREST AVE STE 12",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701769",
            "telephone_number": "734-455-3340",
            "fax_number": "734-254-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FOREST AVE STE 12",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701769",
            "telephone_number": "734-455-3340",
            "fax_number": "734-254-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Yetter, CNIM
• Stephen Yoon
• Michelle A York
• Ashea Young
• Dexter Young
• Megan Young
• Taylor Elizabeth Young, BCBA
• Melissa N Youngblood
• Your Path Through Counseling LLC
• Guisen Yuan

• Optometrist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.

Verify at the official NPI Registry.