Individual provider Active NPI

Joseph Keith Young, O.D.

  • Optometrist
  • Sandy Hook, CT
National Provider Identifier
1649336355
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002528 Issued in CT
Practice address
10 Fawnwood Rd
Sandy Hook, CT 06482-1400
Phone
(203) 364-1964
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 002528 CT
Pediatric Optometrist 152WP0200X 002528 CT
Sports Vision Optometrist 152WS0006X 002528 CT
Occupational Vision Optometrist 152WX0102X 002528 CT
Optometrist 152W00000X 002528 CT Primary

Addresses

Primary practice location

10 Fawnwood Rd
Sandy Hook, CT 06482-1400

Mailing address

10 Fawnwood Rd
Sandy Hook, CT 06482-1400
Phone (203) 364-1964

Other identifiers 5

IdentifierTypeStateIssuer
002528OtherCTCT OD LICENSE
29317OtherCTCDS
OPC3411OtherFLFLORIDA OD LICENSE NUMBER
06-1581140OtherTAX ID #
1225224694OtherYOUNG EYES GROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110509000172 CT Practitioner - Optometry 0648455634

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

69 Sand Pit Rd
Suite 101
Danbury, CT 06810-4067

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
89.64
Promoting interoperability
95
Improvement activities
40
Cost
67.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002528CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Eye Consultants, PC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Connecticut Eye Consultants, PC Optometrist CurrentSince Oct 1, 2024 Accepting new patients

Locations

69 Sand Pit Rd
Ste 101
Danbury, CT 06810
Phone (203) 791-2020

Interoperability endpoints

  • Direct secure messaging: jyoung@refocus.intellechartdirect.net
  • Direct secure messaging: joseph.young.p1@direct.danburyeye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1649336355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAWNWOOD RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821400",
            "telephone_number": "203-364-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAWNWOOD RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821400",
            "telephone_number": "203-364-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOSEPH",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "002528",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CT",
            "license": "002528",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CT",
            "license": "002528",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CT",
            "license": "002528",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT OD LICENSE",
            "identifier": "002528",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "29317",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA OD LICENSE NUMBER",
            "identifier": "OPC3411",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "06-1581140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "YOUNG EYES GROUP NPI",
            "identifier": "1225224694",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Hook, CT

Sources for this page

Verify at the official NPI Registry.