Frederick Young, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00554300 Issued in NJ

Practice address

100 Centerton Rd
Mount Laurel, NJ 08054-6103

Phone

(856) 359-3654

Fax

(856) 359-3680

NPI assigned

Jun 22, 2005

Last updated

Aug 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Pennsylvania College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Visionary Eye Care Associates LLC

  • Optometrist
  • Mount Laurel, NJ
  • NPI 1093733610
  Medicare reassignment NPD Authorized official
• On Site Health Services PC

  • Optometrist
  • Blue Bell, PA
  • NPI 1720083553
  NPD (past)
• Ophthalmology Consulting Services, PC

  • Ophthalmology Physician
  • Blue Bell, PA
  • NPI 1831195213
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1457357717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTERTON RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546103",
            "telephone_number": "856-359-3654",
            "fax_number": "856-359-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTERTON RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546103",
            "telephone_number": "856-359-3654",
            "fax_number": "856-359-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "FREDERICK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00554300",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7916604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ben M. Yang, M.D.
• Brianna Azadeh Yates, MD
• Helen H. Yi, M.D.
• Hannah Yoon, D.M.D.
• Ebony Young, RN
• Your Place at Home,LLC
• Amanda J Zacharias, M.S.
• Stephanie C Zaic, LSW
• Zaid Home Care Services (Zaid Health Solutions)
• Zainub Enterprises LLC (Assisting Hands Home Care)

• Optometrist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.