Jessica Lynne Young, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001959 Issued in PA

Practice address

611 University Dr
Ste. 111
State College, PA 16801-6552

Phone

(814) 234-6060

Fax

(814) 234-0797

NPI assigned

Sep 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• State College Eye Care PC

  • Optometrist
  • State College, PA
  • NPI 1427300250
  Medicare reassignment NPD Authorized official
• The Brande Saad Group

  • Optometrist
  • State College, PA
  • NPI 1447298062
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1689860983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 UNIVERSITY DR",
            "address_2": "STE. 111",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016552",
            "telephone_number": "814-234-6060",
            "fax_number": "814-234-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 UNIVERSITY DR",
            "address_2": "STE. 111",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016552",
            "telephone_number": "814-234-6060",
            "fax_number": "814-234-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Malone Yogus, PT
• James M Yonushonis, DC
• Melanie Lynn Yonushonis, PHARMD
• Young Men's Christian Association of Centre County
• Dempsey William Young, PSYD
• Lisa Altman Young, PH.D.
• Carol Slagle Younkins, R.PH.
• Glenn D Younkins, DDS
• Durga Zally, PHARM. D
• Nicolo Zanchi, MD

• Optometrist in State College, PA
• Providers in State College, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.