Individual provider Active NPI

Carlee Young, O.D.

  • Optometrist
  • Frisco, TX
National Provider Identifier
1457732562
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8650TG Issued in TX
Practice address
3140 Legacy Dr Ste 500
Frisco, TX 75034-8340
Phone
(214) 619-5580
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT15276 CA
Pediatric Optometrist 152WP0200X OPT15276 CA
Optometrist 152W00000X 8650TG TX Primary

Addresses

Primary practice location

3140 Legacy Dr Ste 500
Frisco, TX 75034-8340

Mailing address

2575 Yorba Linda Blvd
Fullerton, CA 92831-1615
Phone (714) 449-7401

Other practice location 1

2575 Yorba Linda Blvd
Fullerton, CA 92831-1615
Phone (714) 449-7401

Other identifiers 8

IdentifierTypeStateIssuer
1234530001OtherTXDMERC
1457732562OtherTXNPI
8650TGOtherTXSTATE LICENSE
1902852346OtherTXGROUP NPI
752711435OtherTXGROUP TAX ID
00E41YOtherTXGROUP PIN
85336QOtherTXBCBS
10228305OtherTXDPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160524000724 TX Practitioner - Optometry 5092027128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frisco Eye AssociatesGroup PAC ID 5193792786, 12 clinicians

Practice addresses (Care Compare)

7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone (972) 712-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Eye Associates Optometrist CurrentSince Apr 17, 2016 Accepting new patients
My Catholic Doctor, P.L.L.C. PastSince Apr 6, 2021 Accepting new patients

Locations

7638 Stonebrook Pkwy
Frisco, TX 75034
Phone (972) 712-1010

3140 Legacy Dr
Ste 500
Frisco, TX 75034
Phone (214) 619-5508

Organizations & group practices 2

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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457732562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 YORBA LINDA BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311615",
            "telephone_number": "714-449-7401",
            "fax_number": "714-992-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 LEGACY DR STE 500",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348340",
            "telephone_number": "214-619-5580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2575 Yorba Linda Blvd",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928311615",
            "country_code": "US",
            "telephone_number": "714-449-7401",
            "fax_number": "714-992-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CARLEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT15276",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "OPT15276",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8650TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1234530001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457732562",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8650TG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1902852346",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "752711435",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN",
            "identifier": "00E41Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85336Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "10228305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.