Organization Active NPI

Young Optometric Corporation, PC

  • Optometrist
  • Lathrop, CA
National Provider Identifier
1780581298
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
YOUNG OPTOMETRIC CORPORATION, PC
Practice address
16150 Golden Valley Pkwy
Lathrop, CA 95330-7852
Phone
(209) 390-0324
NPI assigned
Oct 20, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
YOUNG OPTOMETRIC CORPORATION, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

Name
Susan L Christopher-Brand
Title
Credentialing Manager
Phone
(380) 223-3412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

16150 Golden Valley Pkwy
Lathrop, CA 95330-7852

Mailing address

1 Vermont Dr
New Hyde Park, NY 11042-1128

National Provider Directory

National Provider Directory
Tax ID family
Young Optometric Corporation PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1780581298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VERMONT DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 GOLDEN VALLEY PKWY",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953307852",
            "telephone_number": "209-390-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG OPTOMETRIC CORPORATION, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG OPTOMETRIC CORPORATION, PC",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER-BRAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "380-223-3412"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.