Josiah W. Young, O.D.,M.S.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1771 Issued in KY

Practice address

2220 Grandview Dr Ste 120
Fort Mitchell, KY 41017-1691

Phone

(859) 578-0393

Fax

(859) 815-8896

NPI assigned

Jan 28, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Opticare Vision Centers, LLCGroup PAC ID 5698029338, 6 clinicians

DRS Cooke, Landon and Sellers Optometrist, P.S.CGroup PAC ID 5193744316, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Opticare Vision Centers, LLC

  • Optometrist
  • Fort Mitchell, KY
  • NPI 1326541863
  Medicare reassignment Care Compare group NPD Authorized official
• DRS Cooke, Landon & Sellers, Optometrist, P.S.C

  • Optometrist
  • Newport, KY
  • NPI 1699837427
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1679711675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CAROTHERS RD",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712415",
            "telephone_number": "859-491-1010",
            "fax_number": "859-292-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 GRANDVIEW DR STE 120",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410171691",
            "telephone_number": "859-578-0393",
            "fax_number": "859-815-8896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Grandview Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Fort Mitchell",
            "state": "KY",
            "postal_code": "410171691",
            "country_code": "US",
            "telephone_number": "859-578-0393",
            "fax_number": "859-815-8896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOSIAH",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1771",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100087640",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keli Fauber West, PSYD
• Maydie Mack Wilcox, MPT
• Kayla Renee Worthington
• Elizabeth Wyan
• Ellen M Yass-Reed, M.A.
• Michael Alexander Zamora, DC

• Optometrist in Fort Mitchell, KY
• Providers in Fort Mitchell, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.

Verify at the official NPI Registry.