Dr Richard E Young and Dr Arlene L Vazquez Young PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004955-1 Issued in NY

Legal business name

DR RICHARD E YOUNG AND DR ARLENE L VAZQUEZ YOUNG PC

Practice address

89 Main St
Northport, NY 11768-1742

Phone

(631) 757-6190

Fax

(631) 757-4759

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard E Young, O.D.NPI 1619043601

Title

President

Phone

(631) 757-6190

Specialties & licenses 1

Addresses

Other names 1

• Main Street Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard E Young, O.D.

  • Optometrist
  • Northport, NY
  • NPI 1619043601

  NY, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Arlene L Vazquez Young, O.D.

  • Optometrist
  • Northport, NY
  • NPI 1508932179

  NY, Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1679748941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681742",
            "telephone_number": "631-757-6190",
            "fax_number": "631-757-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681742",
            "telephone_number": "631-757-6190",
            "fax_number": "631-757-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD E YOUNG AND DR ARLENE L VAZQUEZ YOUNG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-757-6190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004955-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara M Donahue, NP
• Sharon Etta Donenfeld, MA, LMFT
• Michael John Dorn, RN
• Reisa P Doyle, NP
• Dr Christopher Bux PT PLLC
• Dr. Colleen Erin McKechnie, Psychologist
• Bernadette Dube
• Helen Gibney Dubinsky, APRN,BC
• Mary Anne Dumas, PHD, RN, CFNP, FAANP
• Delia Rayne Duran

• All providers in Northport, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.