Organization Active NPI

Young Eyes, L.L.C.

  • Clinic/Center
  • Youngsville, LA
National Provider Identifier
1902088198
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD.013947 Issued in LA
Legal business name
YOUNG EYES, L.L.C.
Practice address
327 Iberia St
Youngsville, LA 70592-5738
Phone
(337) 893-8976
Fax
(337) 893-8972
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Mr. Byron Andrew Young
Title
Operations Manager
Phone
(337) 857-5567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD.013947 LA Primary

Addresses

Primary practice location

327 Iberia St
Youngsville, LA 70592-5738

Mailing address

PO Box 1077
Youngsville, LA 70592-1077
Phone (337) 857-5567

Other identifiers 1

IdentifierTypeStateIssuer
1320935MedicaidLA

Other names 1

  • Young Vision Group Other name

National Provider Directory

National Provider Directory

Locations

327 Iberia St
Ste 4
Youngsville, LA 70592
Phone (337) 857-5567

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1902088198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1077",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705921077",
            "telephone_number": "337-857-5567",
            "fax_number": "337-857-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 IBERIA ST",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925738",
            "telephone_number": "337-893-8976",
            "fax_number": "337-893-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG EYES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "337-857-5567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "MD.013947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1320935",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Vision Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Youngsville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.