Individual provider Active NPI

Jeffrey C Young Jr., OD

  • Optometrist
  • Bolingbrook, IL
National Provider Identifier
1467861864
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010895 Issued in IL
Practice address
310 S Weber Rd
Bolingbrook, IL 60490
Phone
(630) 771-0600
Fax
(630) 759-9692
NPI assigned
Aug 11, 2014
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010895 IL Primary
Optometrist 152W00000X TA2417 MD

Addresses

Primary practice location

310 S Weber Rd
Bolingbrook, IL 60490

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150923001016 IL Practitioner - Optometry 3476774613 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Young Eye Optometry PLLCGroup PAC ID 0446765507, 2 clinicians

Practice addresses (Care Compare)

2272 95TH St
Suite 105
Naperville, IL 60564-8944
Phone (630) 922-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
046.010895ILMDOptometrist
TA2417MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Aug 15, 2018 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Aug 15, 2018 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Young Eye Optometry PLLC Optometrist CurrentSince May 1, 2025 Accepting new patients
Visionworks, Inc CurrentSince Sep 1, 2015 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Sep 1, 2015 Accepting new patients
Toni a. Reising O.D., LTD Optometrist CurrentSince Aug 29, 2025 Accepting new patients
Frontier Family Vision Inc Optometrist Past Accepting new patients
Jill a. Setterlun, O.D., LTD. PastSince Aug 29, 2025 Accepting new patients

Locations

310 S Weber Rd
Bolingbrook, IL 60490
Phone (630) 771-0600

1101 S Canal St
Ste 108
Chicago, IL 60607
Phone (312) 558-0159

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

2272 95th St
Ste 105
Naperville, IL 60564
Phone (630) 922-8000

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 9

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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1467861864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60490",
            "telephone_number": "630-771-0600",
            "fax_number": "630-759-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010895",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.