Active NPI
Joseph Keith Young, O.D.
- Optometrist
- Sandy Hook, CT
National Provider Identifier
1649336355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002528
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002528 | Other | CT | CT OD LICENSE |
| 29317 | Other | CT | CDS |
| OPC3411 | Other | FL | FLORIDA OD LICENSE NUMBER |
| 06-1581140 | Other | TAX ID # | |
| 1225224694 | Other | YOUNG 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 89.64
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 67.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002528 | CT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Eye Consultants, PC | Optometrist | Current | Accepting new patients |
| Connecticut Eye Consultants, PC | Optometrist | Current | Accepting new patients |
Locations
69 Sand Pit Rd
Ste 101
Danbury, CT 06810
Phone (203) 791-2020
Interoperability endpoints
- jyoung@refocus.intellechartdirect.net
- joseph.young.p1@direct.danburyeye.nextgenshare.com
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Danbury, CT
- NPI 1891902037
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.