Active NPI
Carlee Young, O.D.
- Optometrist
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8650TG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1234530001 | Other | TX | DMERC |
| 1457732562 | Other | TX | NPI |
| 8650TG | Other | TX | STATE LICENSE |
| 1902852346 | Other | TX | GROUP NPI |
| 752711435 | Other | TX | GROUP TAX ID |
| 00E41Y | Other | TX | GROUP PIN |
| 85336Q | Other | TX | BCBS |
| 10228305 | Other | TX | DPS |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frisco Eye Associates | Optometrist | Current | Accepting new patients |
| My Catholic Doctor, P.L.L.C. | Past | 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.
-
- Optometrist
- Frisco, TX
- NPI 1902852346
-
- Pediatrics Physician
- New Canaan, CT
- NPI 1396201307
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.