Seongmin Youn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003676 Issued in MI

Practice address

42921 Woodward Ave
Bloomfield Hills, MI 48304-5035

Phone

(248) 332-0200

Fax

(248) 332-2405

NPI assigned

Oct 18, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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.

• Seongmin Youn, OD. PC

  • Optometrist
  • Bloomfield Hills, MI
  • NPI 1821214040
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1497836183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42921 WOODWARD AVE",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483045035",
            "telephone_number": "248-332-0200",
            "fax_number": "248-449-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42921 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045035",
            "telephone_number": "248-332-0200",
            "fax_number": "248-332-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUN",
        "first_name": "SEONGMIN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944436611",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yatinder M Singhal MD PC
• Christine Jadan Yono, FNP-BC
• Natalia Yono
• Jina Yoon, PH.D.
• Odessha Rana York, PMHNP
• Timesha Young, PA-C
• Angelic Zaitouna
• Irene Joseph Zaitouna, PHARMD
• Zealous Home Health Care
• Kelson E Zehr, MA, LPC , CRC, LSW

• Optometrist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.