Active NPI
Laura Young, O.D.
- Optometrist
- Delran, NJ
National Provider Identifier
1528407178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 270A00646300
- Practice address
- 2910 Route 130
Delran, NJ 08075-2522 - Phone
- (856) 461-0987
- NPI assigned
- Jun 17, 2013
- Last updated
- Nov 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 270A00646300 | NJ | Primary |
| Optometrist | 152W00000X | OEG002784 | PA |
Addresses
Primary practice location
2910 Route 130
Delran, NJ 08075-2522
Mailing address
1822 S 9TH St
Philadelphia, PA 19148-1660
Phone (443) 617-5012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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
- Pennsylvania College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2910 Route 130
Suite 2
Delran, NJ 08075-2522
Phone (856) 461-0987
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270A00646300 | NJ | MD | Optometrist |
| OEG002784 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delran Eye Associates LLC | Optometrist | Current | Accepting new patients |
| Vision Therapy of South Jersey Inc | Current | Accepting new patients |
Locations
2910 Route 130
Delran, NJ 08075
Phone (856) 461-0987
2910 Route 130
Ste 2
Delran, NJ 08075
Phone (856) 461-0987
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Delran, NJ
- NPI 1144712167
-
- Vision Therapy Optometrist
- Delran, NJ
- NPI 1588152276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1528407178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 S 9TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191481660",
"telephone_number": "443-617-5012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 ROUTE 130",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080752522",
"telephone_number": "856-461-0987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-17",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "270A00646300",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002784",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delran, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.