Active NPI
Eugene F Young, OPTICIAN
- Contact Lens Fitter
- Medina, NY
National Provider Identifier
1902920846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contact Lens Fitter
- License
- C005349-1
- Practice address
- 415 Main St
Medina, NY 14103-1416 - Phone
- (585) 798-4671
- Fax
- (585) 798-4672
- NPI assigned
- Mar 17, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Contact Lens Fitter | 156FC0801X | C005349-1 | NY | Primary |
| Optician | 156FX1800X | C005349-1 | NY |
Addresses
Primary practice location
415 Main St
Medina, NY 14103-1416
Mailing address
415 Main St
Medina, NY 14103-1416
Phone (585) 798-4671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01535657 | Medicaid | NY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C005349-1 | NY | MD | Contact Lens Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Binghamton Optical Inc | 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, 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": "1174089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902920846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MAIN ST",
"city": "MEDINA",
"state": "NY",
"postal_code": "141031416",
"telephone_number": "585-798-4671",
"fax_number": "585-798-4672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 MAIN ST",
"city": "MEDINA",
"state": "NY",
"postal_code": "141031416",
"telephone_number": "585-798-4671",
"fax_number": "585-798-4672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "EUGENE",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "NY",
"license": "C005349-1",
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "C005349-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01535657",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medina, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.