Individual provider Active NPI

Melissa Young, OD

  • Optometrist
  • Freeport, ME
National Provider Identifier
1871277681
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1068 Issued in ME
Practice address
407 US Route 1
Freeport, ME 04032-7023
Phone
(207) 729-8474
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1068 ME Primary

Addresses

Primary practice location

407 US Route 1
Freeport, ME 04032-7023

Mailing address

407 US Route 1
Freeport, ME 04032-7023
Phone (207) 729-8474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230828000759 ME Practitioner - Optometry 3072976885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Optometry PAGroup PAC ID 8022009117, 23 clinicians

Practice addresses (Care Compare)

14 Vista Dr
Suite 200
Gorham, ME 04038-5884
Phone (207) 729-8474

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Optometry PA Optometrist CurrentSince Jul 5, 2023 Accepting new patients
Roger L. Bergeron, O.D.P.a. Past Accepting new patients
Arthur Chapman III OD PA Optometrist Past Accepting new patients

Locations

242 Bath Rd
Brunswick, ME 04011
Phone (207) 389-3525

407 US Route 1
Freeport, ME 04032
Phone (207) 865-2023

14 Vista Dr
Ste 200
Gorham, ME 04038

347 Main St
Ste D
Gorham, ME 04038
Phone (207) 839-2638

585 Main St
Lewiston, ME 04240
Phone (207) 784-0153

240 Main St
Saco, ME 04072

656 Roosevelt Trl
Windham, ME 04062
Phone (207) 389-3525

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1871277681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 US ROUTE 1",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327023",
            "telephone_number": "207-729-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 US ROUTE 1",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327023",
            "telephone_number": "207-729-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, ME

Sources for this page

Verify at the official NPI Registry.