Johanna L Young, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3657 Issued in FL

Practice address

10676 NW 19TH St
Doral, FL 33172-2542

Phone

(305) 403-3937

NPI assigned

Jan 25, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

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 and National Provider Directory roles.

• Medical Arts Inc.

  • Optometrist
  • Coral Gables, FL
  • NPI 1386998920
  Medicare reassignment NPD
• James D Hagen OD PA

  • Optometrist
  • Miami, FL
  • NPI 1942483144
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568517654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10917 NW 59TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10676 NW 19TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722542",
            "telephone_number": "305-403-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOHANNA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6207740",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yesi Medical Service
• Alice Marie Ynirio
• Jeffrey Scott Yoham, DC
• You Can Counseling LLC
• Young Eye Assoicates, O.D., P.a.
• Meredith Karabinos Young, RD
• Yoya'S Home Health Care, Inc.
• Yuliesvy Medical Services Inc
• Kevin Hector Yupanqui, RN
• Z and G Medical Equipment, Inc

• Optometrist in Doral, FL
• Providers in Doral, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.