Active NPI
Seongmin Youn, O.D.
- Optometrist
- Bloomfield Hills, MI
National Provider Identifier
1497836183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003676
- Practice address
- 42921 Woodward Ave
Bloomfield Hills, MI 48304-5035 - Phone
- (248) 332-0200
- Fax
- (248) 332-2405
- NPI assigned
- Oct 18, 2006
- Last updated
- Oct 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003676 | MI | Primary |
Addresses
Primary practice location
42921 Woodward Ave
Bloomfield Hills, MI 48304-5035
Mailing address
42921 Woodward Ave
Bloomfield, MI 48304-5035
Phone (248) 332-0200
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901003676 | MI | MD | Optometrist |
Organizations & group practices 1
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": "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": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- 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.