Individual provider Active NPI

Jonathan Young, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Tigard, OR
National Provider Identifier
1720492820
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
MD193169 Issued in OR
Practice address
7000 SW Redwood LN
Tigard, OR 97224-7134
Phone
(503) 210-9150
Fax
(503) 210-1895
NPI assigned
Jun 17, 2014
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X A155530 CA
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X MD193169 OR Primary

Addresses

Primary practice location

7000 SW Redwood LN
Tigard, OR 97224-7134

Mailing address

75 Enterprise Ste 200
Aliso Viejo, CA 92656-2626
Phone (949) 688-6205

Other practice location 1

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-5000

Other practice location 2

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-5000

Other practice location 3

100 Stein Plz
Los Angeles, CA 90095-3010
Phone (310) 825-3090

Other practice location 4

200 Stein Plaza 1-340
Los Angeles, CA 90095-0001
Phone (310) 825-3090

Other practice location 5

5686 Commercial St SE
Salem, OR 97306-1200
Phone (971) 377-2703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191017000644 OR Practitioner - Ophthalmology 9638485568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgeport Eye Physicians LLCGroup PAC ID 4385735430, 5 clinicians

Practice addresses (Care Compare)

7000 SW Redwood LN
Tigard, OR 97224-7134
Phone (503) 210-9150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.82 of 100Reported as group
Quality
64.08
Improvement activities
40
Cost
80.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A155530CAMDGlaucoma Specialist (Ophthalmology) Physician
MD193169ORMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates PC CurrentSince Mar 30, 2023 Accepting new patients
Bridgeport Eye Physicians, LLC CurrentSince Mar 20, 2023 Accepting new patients
Nvision Operative Management LLC CurrentSince Mar 12, 2024 Accepting new patients
Retina Care and Research PastSince Mar 30, 2023 Accepting new patients

Locations

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

227 NW 3rd St
Corvallis, OR 97330
Phone (541) 757-1120

5686 Commercial St SE
Salem, OR 97306
Phone (971) 377-2703

20015 SW Pacific Hwy
Ste 150
Sherwood, OR 97140
Phone (503) 610-1025

7000 SW Redwood Ln
Tigard, OR 97224
Phone (503) 210-9150

Interoperability endpoints

  • Direct secure messaging: dr.young@oregon-eye-physicians.direct.kno2fy.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1720492820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ENTERPRISE STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562626",
            "telephone_number": "949-688-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW REDWOOD LN",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247134",
            "telephone_number": "503-210-9150",
            "fax_number": "503-210-1895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W California Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053010",
            "country_code": "US",
            "telephone_number": "626-397-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W California Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053010",
            "country_code": "US",
            "telephone_number": "626-397-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Stein Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953010",
            "country_code": "US",
            "telephone_number": "310-825-3090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Stein Plaza 1-340",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900950001",
            "country_code": "US",
            "telephone_number": "310-825-3090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5686 Commercial St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973061200",
            "country_code": "US",
            "telephone_number": "971-377-2703",
            "fax_number": "971-301-2696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CA",
            "license": "A155530",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "OR",
            "license": "MD193169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.