Michael C. Young, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3262 Issued in MN

Practice address

1542 Golf Course Rd Ste 201
Grand Rapids, MN 55744-3537

Phone

(218) 326-3433

Fax

(218) 326-3435

NPI assigned

Oct 7, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John L Bonner Eye Clinic LTDGroup PAC ID 0547243677, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.59 of 100Reported as individual

Quality

97.67

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: myoung@bonner.intellechartdirect.net

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.

• John L Bonner Eye Clinic LTD

  • Ophthalmology Physician
  • Grand Rapids, MN
  • NPI 1053351817

  Optometrist

  Medicare reassignment Care Compare group NPD
• John L Bonner Eye Clinic LTD

  dba Bonner Eye Clinic

  • Ophthalmology Physician
  • Hibbing, MN
  • NPI 1770626616

  Optometrist

  NPD

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1932434016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 GOLF COURSE RD STE 201",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443537",
            "telephone_number": "218-326-3433",
            "fax_number": "218-326-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 GOLF COURSE RD STE 201",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443537",
            "telephone_number": "218-326-3433",
            "fax_number": "218-326-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3605 Mayfair Ave Ste 2150",
            "address_purpose": "LOCATION",
            "city": "Hibbing",
            "state": "MN",
            "postal_code": "557462938",
            "country_code": "US",
            "telephone_number": "218-262-3156",
            "fax_number": "218-262-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Joseph Wolak, PT, DPT
• Courtney Brook Worlie, OTR/L
• Brandi Worrath, MS, LCP
• Michael Yahnke
• Lori Ylitalo
• Antoinette Youngdahl Palecek, MD
• Adam Mark Zachman, DC
• Megan Jo Zerfas, PA-C
• Tracy Zimmerman-Deschepper, APRN
• Roberta L. Zimmerman, MD

• Optometrist in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.