Individual provider Active NPI

Laura Young, O.D.

  • Optometrist
  • Delran, NJ
National Provider Identifier
1528407178
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00646300 Issued in NJ
Practice address
2910 Route 130
Delran, NJ 08075-2522
Phone
(856) 461-0987
NPI assigned
Jun 17, 2013
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140228000024 NJ Practitioner - Optometry 9032349683 Reassigns benefits to 1 organization

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
Delran Eye Associates LLCGroup PAC ID 0244583771, 2 clinicians

Practice addresses (Care Compare)

2910 Route 130
Suite 2
Delran, NJ 08075-2522
Phone (856) 461-0987

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00646300NJMDOptometrist
OEG002784PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Delran Eye Associates LLC Optometrist CurrentSince Aug 10, 2018 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.

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

Verify at the official NPI Registry.