Active NPI
Adrienne Pyne Young, O.D.
- Optometrist
- Provo, UT
National Provider Identifier
1811329923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4780881-9934
- Practice address
- 1313 S University Ave
Provo, UT 84601-5943 - Phone
- (801) 377-9891
- NPI assigned
- Jul 31, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4780881-9934 | UT | Primary |
| Optometrist | 152W00000X | 4780878-8904 | UT |
Addresses
Primary practice location
1313 S University Ave
Provo, UT 84601-5943
Mailing address
726 E 600 N
Lindon, UT 84042-1657
Phone (801) 471-5826
Other names 1
- Dr. Adrienne Pyne
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 |
|---|---|---|---|
| 4780878-8904 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adrienne Pyne O.D. PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Provo, UT
- NPI 1144372582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433548800000",
"number": "1811329923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 E 600 N",
"city": "LINDON",
"state": "UT",
"postal_code": "840421657",
"telephone_number": "801-471-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 S UNIVERSITY AVE",
"city": "PROVO",
"state": "UT",
"postal_code": "846015943",
"telephone_number": "801-377-9891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ADRIENNE",
"middle_name": "PYNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-31",
"last_updated": "2015-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "4780881-9934",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "4780878-8904",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADRIENNE",
"last_name": "PYNE",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.