Individual provider Active NPI

Tiffany Michelle Young, O.D.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1992155188
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6513 Issued in OH
Practice address
2929 Highland Ave
Cincinnati, OH 45219-2463
Phone
(513) 559-3599
NPI assigned
Jun 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6513 OH Primary

Addresses

Primary practice location

2929 Highland Ave
Cincinnati, OH 45219-2463

Mailing address

2929 Highland Ave
Cincinnati, OH 45219-2463
Phone (513) 559-3599

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
I20170620002433 OH Practitioner - Optometry 8022386820 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Management Group LLCGroup PAC ID 7517034291, 43 clinicians

Practice addresses (Care Compare)

265 N Liberty St
Powell, OH 43065-8870
Phone (614) 793-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey a Rahn OD Inc Optometrist CurrentSince Jun 24, 2019 Accepting new patients
Cooke Landen & Grutzmacher OD Inc Optometrist CurrentSince Dec 12, 2019 Accepting new patients
Optometric Management Group LLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
DRS Ronald Cooke & George Landon Optometrists LLC Optometrist CurrentSince Dec 12, 2019 Accepting new patients
Opticare Vision Centers, LLC Optometrist PastSince Dec 12, 2019 Accepting new patients

Locations

3039 Madison Rd
Cincinnati, OH 45209
Phone (513) 651-4005

5823 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-8811

486 Ohio Pike
Cincinnati, OH 45255
Phone (513) 528-8601

1500 Polaris Pkwy
Columbus, OH 43240
Phone (614) 885-3937

1450 Olentangy River Rd
Ste 1437
Columbus, OH 43212

5180 E Main St
Columbus, OH 43213
Phone (614) 866-9002

2440 Wilmington Pike
Dayton, OH 45419
Phone (614) 793-0700

951 E Johnstown Rd
Gahanna, OH 43230
Phone (614) 476-2015

3959 Hoover Rd
Grove City, OH 43123
Phone (614) 875-8373

3636 Broadway
Grove City, OH 43123
Phone (614) 871-3234

10051A Simonson Rd
Ste 3
Harrison, OH 45030
Phone (513) 367-4262

340 Alexandersville Rd
Miamisburg, OH 45342
Phone (937) 866-3471

315 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-0339

5854 Cinema Dr
Ste A
Milford, OH 45150
Phone (513) 248-1212

142 W Water St
Ste L
Oak Harbor, OH 43449
Phone (419) 898-1918

141 Clint Dr
Pickerington, OH 43147
Phone (614) 575-0111

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

22 Remick Blvd
Springboro, OH 45066
Phone (937) 748-2720

1018 Cheyenne Ave
Springfield, OH 45503
Phone (937) 399-0282

107 Plaza Dr
St Clairsvle, OH 43950
Phone (740) 526-0204

1861 Towne Park Dr
Troy, OH 45373
Phone (937) 339-7956

226 W Court St
Washington Court House, OH 43160
Phone (740) 335-2020

1050 Washington Ave
Washington Court House, OH 43160
Phone (740) 335-1025

Organizations & group practices 5

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1992155188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 HIGHLAND AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192463",
            "telephone_number": "513-559-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 HIGHLAND AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192463",
            "telephone_number": "513-559-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TIFFANY",
        "middle_name": "MICHELLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.