Individual provider Active NPI

Chen Young, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1871538876
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
318 Issued in NV
Practice address
8880 W Charleston Blvd
Las Vegas, NV 89117-5454
Phone
(702) 938-2020
Fax
(702) 938-2034
NPI assigned
Jun 17, 2006
Last updated
May 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 318 NV Primary

Addresses

Primary practice location

8880 W Charleston Blvd
Las Vegas, NV 89117-5454

Mailing address

8880 W. Charleston Blvd
Las Vegas, NV 89117
Phone (702) 938-2020

Other names 1

  • Chen Young Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20050929000496 NV Practitioner - Optometry 4789619610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optic Gallery DTS LLCGroup PAC ID 3779093885, 2 clinicians
Optic Gallery Centennial Hills IncGroup PAC ID 8426273624, 3 clinicians
Chen Kuo Young O D IncGroup PAC ID 9537280060, 7 clinicians

Practice addresses (Care Compare)

2375 S Town Ctr Dr
Suite 120
Las Vegas, NV 89135-2179

6620 N Durango
Las Vegas, NV 89149-4430

6620 N Durango Dr
Las Vegas, NV 89149-4430
Phone (702) 227-2020

8880 W Charleston Blvd
Las Vegas, NV 89117-5454

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
318NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optic Gallery DTS LLC Optometrist CurrentSince May 5, 2025 Accepting new patients
Chen Kuo Young, OD. Inc. Optometrist CurrentSince May 24, 1999 Accepting new patients
Jennifer C. Mallinger O.D. Chartered Optometrist PastSince Dec 6, 2012 Accepting new patients
Optic Gallery Nellis LLC Optometrist PastSince May 23, 2018 Accepting new patients
Optic Gallery Past Accepting new patients
Optic Gallery Centennial Inc Optometrist Past Accepting new patients

Locations

2375 S Town Center Dr
Ste 120
Las Vegas, NV 89135
Phone (702) 329-2020

8880 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 938-2020

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1871538876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 W. CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-938-2020",
            "fax_number": "702-938-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175454",
            "telephone_number": "702-938-2020",
            "fax_number": "702-938-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEN",
            "last_name": "YOUNG",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.