Active NPI
Tomara P. Young, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1932323847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006336-1
- Practice address
- 86 W 125TH St
New York, NY 10027-4502 - Phone
- (212) 996-2676
- Fax
- (212) 996-3051
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV006336-1 | NY | Primary |
Addresses
Primary practice location
86 W 125TH St
New York, NY 10027-4502
Mailing address
86 W 125TH St
New York, NY 10027-4502
Phone (212) 996-2676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THE NIA GROUP | Other | MALPRACTICE INSURANCE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006336-1 | NY | MD | Optometrist |
| 006336 | NY | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelsee Optical, Inc. | Optometrist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1932323847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 W 125TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274502",
"telephone_number": "212-996-2676",
"fax_number": "212-996-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 W 125TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274502",
"telephone_number": "212-996-2676",
"fax_number": "212-996-3051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "TOMARA",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV006336-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MALPRACTICE INSURANCE",
"identifier": "THE NIA GROUP",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.