Youth Vision of Aurora, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

YOUTH VISION OF AURORA, LLC

Doing business as

Aurora Youth Dental & Vision
Aurora Youth Vision

Practice address

14251 E 6TH Ave
Aurora, CO 80011-8706

Phone

(303) 343-3133

Fax

(719) 960-2654

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Amber Logan

Title

Authorized Official

Phone

(719) 200-5653

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Aurora Youth Dental & Vision Doing business as
• Aurora Youth Vision Doing business as

Locations

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1689192924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 E 6TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118706",
            "telephone_number": "303-343-3133",
            "fax_number": "303-343-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14251 E 6TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118706",
            "telephone_number": "303-343-3133",
            "fax_number": "719-960-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH VISION OF AURORA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "AUTHORIZED  OFFICIAL",
        "authorized_official_telephone_number": "719-200-5653"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000152116",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Youth Dental & Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aurora Youth Dental & Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aurora Youth Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Selam Yousef
• Ashraf Samy Youssef, M.D.
• Hesham Abou Youssef, DDS DHSC
• Sara Wael Youssef, MD
• Mariam Yousufi
• Diana Yrineo
• Amy Yu, MD
• Justin Yu, MD
• Yen-Rei Andrea Yu, M.D.PH.D
• Madeline Anna Yuan, MD

• Optometrist in Aurora, CO
• Providers in Aurora, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.