Individual provider Active NPI

David Scott Young, O.D.

  • Optometrist
  • Alliance, OH
National Provider Identifier
1922075704
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4690 Issued in OH
Practice address
985 S Sawburg Rd
Alliance, OH 44601-3515
Phone
(330) 823-1680
Fax
(330) 823-3831
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4690 OH Primary

Addresses

Primary practice location

985 S Sawburg Rd
Alliance, OH 44601-3515

Mailing address

985 S Sawburg Rd
Alliance, OH 44601-3515
Phone (330) 823-1680

Other identifiers 1

IdentifierTypeStateIssuer
0195202MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20061208000021 OH Practitioner - Optometry 8426057092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Eye Alliance, Inc.Group PAC ID 3173571809, 3 clinicians

Practice addresses (Care Compare)

985 S Sawburg Ave
Alliance, OH 44601-3515
Phone 33082316801109

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
Ohio Eye Alliance, Inc. CurrentSince Sep 1, 2006 Accepting new patients

Locations

985 S Sawburg Ave
Alliance, OH 44601
Phone (330) 821-7997

3645 Stutz Dr
Ste B
Canfield, OH 44406

3645 Stutz Dr
#B
Canfield, OH 44406
Phone (330) 533-1041

4469 Fulton Dr NW
Ste 100
Canton, OH 44718
Phone (330) 966-8461

Interoperability endpoints

  • Direct secure messaging: dyoung@oea.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1922075704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 S SAWBURG RD",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013515",
            "telephone_number": "330-823-1680",
            "fax_number": "330-823-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 S SAWBURG RD",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013515",
            "telephone_number": "330-823-1680",
            "fax_number": "330-823-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195202",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.