Arlene L Vazquez Young, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV-004953-1 Issued in NY

Practice address

89 Main St
Northport, NY 11768-1742

Phone

(631) 757-6190

Fax

(631) 757-4759

NPI assigned

Nov 27, 2006

Last updated

Apr 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Richard E Young and Dr Arlene L Vazquez Young PCGroup PAC ID 5496969461, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Richard E Young and Dr Arlene L Vazquez Young PC

  dba Main Street Optometry

  • Optometrist
  • Northport, NY
  • NPI 1679748941
  Medicare reassignment Care Compare group NPD
• Huntington Dermatology and Cosmetics Associate PC

  • Dermatology Physician
  • Huntington, NY
  • NPI 1487669883
  NPD (past)
• Long Island Eye Surgical Care, PC

  • Ophthalmology Physician
  • Brentwood, NY
  • NPI 1013006576
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1508932179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681742",
            "telephone_number": "631-757-6190",
            "fax_number": "631-757-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681742",
            "telephone_number": "631-757-6190",
            "fax_number": "631-757-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ YOUNG",
        "first_name": "ARLENE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-004953-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Ioannis Varkaris, M.D.
• Mary M Varughese, ANP-BC
• Jessica L Varvatsas
• Dixie Ailyn Vasquez
• Amy Lynn Vath, PA-C
• Gabrielle Eva Velazquez
• Karen Ventricelli, RN
• Veterans Administration Hospital
• Katherine Vicinanza
• Victoria Vovsha P.C. (Maximum Vitality)

• Optometrist in Northport, NY
• Providers in Northport, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.

Verify at the official NPI Registry.