Active NPI
Arthur Kevin Young, OD
- Optometrist
- Norman, OK
National Provider Identifier
1700841657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OK1017
- Practice address
- 1220 E Robinson
Norman, OK 73071 - Phone
- (405) 360-3590
- Fax
- (405) 360-0546
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OK1017 | OK | Primary |
Addresses
Primary practice location
1220 E Robinson
Norman, OK 73071
Mailing address
1220 E Robinson St
Norman, OK 73071-3602
Phone (405) 360-3590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100767680A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OK1017 | OK | MD | Optometrist |
| 595 | OK | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1700841657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 E ROBINSON ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730713602",
"telephone_number": "405-360-3590",
"fax_number": "405-360-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 E ROBINSON",
"city": "NORMAN",
"state": "OK",
"postal_code": "73071",
"telephone_number": "405-360-3590",
"fax_number": "405-360-0546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ARTHUR",
"middle_name": "KEVIN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "OK1017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100767680A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.