Active NPI
Seongmin Youn, OD. PC
- Optometrist
- Bloomfield Hills, MI
National Provider Identifier
1821214040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003676
- Legal business name
- SEONGMIN YOUN, OD. PC
- Practice address
- 42921 Woodward Ave
Bloomfield Hills, MI 48304-5035 - Phone
- (248) 332-0200
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Seongmin Youn, O.D.
- Title
- President
- Phone
- (248) 332-0200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003676 | MI | Primary |
Addresses
Primary practice location
42921 Woodward Ave
Bloomfield Hills, MI 48304-5035
Mailing address
42921 Woodward Ave
Bloomfield Hills, MI 48304-5035
Phone (248) 332-0200
Other names 1
- The EyePlace
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
42921 Woodward Ave
Bloomfield Hills, MI 48304
Phone (248) 332-0200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bloomfield Hills, MI
- NPI 1497836183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821214040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42921 WOODWARD AVE",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483045035",
"telephone_number": "248-332-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42921 WOODWARD AVE",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483045035",
"telephone_number": "248-332-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEONGMIN YOUN, OD. PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YOUN",
"authorized_official_first_name": "SEONGMIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-332-0200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901003676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The EyePlace",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.