Individual provider Active NPI

Adria Young, OD

  • Optometrist
  • Lady Lake, FL
National Provider Identifier
1649709015
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5469 Issued in FL
Practice address
801 CR 466
Suite 102 Sunset Plaza
Lady Lake, FL 32159
Phone
(352) 350-2070
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5469 FL Primary

Addresses

Primary practice location

801 CR 466
Suite 102 Sunset Plaza
Lady Lake, FL 32159

Mailing address

6740 NW 15TH Ave
Ocala, FL 34475-8557

Other practice location 1

6740 NW 15th Ave
Ocala, FL 34475-8557
Phone (305) 389-8262

Other identifiers 1

IdentifierTypeStateIssuer
OPC5469OtherFLMEDICAL STATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180716003292 FL Practitioner - Optometry 6800143280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Eye PAGroup PAC ID 3375503402, 23 clinicians

Practice addresses (Care Compare)

4414 SW College Rd
Unit 1462
Ocala, FL 34474-2701
Phone (352) 622-5183

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
85.3
Promoting interoperability
100
Improvement activities
40
Cost
75.21

Merit-based Incentive Payment System (MIPS)

Final score
92.24 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5469FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Eye PA Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Central Florida Premier Eye Associates PastSince Jul 16, 2018 Accepting new patients

Locations

8520 SW Highway 200
Ocala, FL 34481

4414 SW College Rd
Unit 1462
Ocala, FL 34474
Phone (352) 694-8972

Interoperability endpoints

  • Direct secure messaging: adria.young.p1@direct.ocalaeye.nextgenshare.com
  • Direct secure messaging: adria.young.p2@direct.ocalaeye.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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1649709015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 NW 15TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344758557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CR 466",
            "address_2": "SUITE 102 SUNSET PLAZA",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-350-2070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6740 NW 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344758557",
            "country_code": "US",
            "telephone_number": "305-389-8262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ADRIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2020-10-06",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL STATE LICENSE NUMBER",
            "identifier": "OPC5469",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.