TYLER YOUNG, O.D., P.A. (NPI# 1396253191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396253191 |
| Entity Type | Organization |
| Organization Name | TYLER YOUNG, O.D., P.A. |
| Other Organization Name | INFOCUS FAMILY EYECARE |
| Practice Address |
12129 Shawnee Mission Pkwy Shawnee KS 66216 |
| Mailing Address |
12129 Shawnee Mission Pkwy Shawnee KS 66216-1829 |
| Practice Telephone | 9138082020 |
| Practice Fax Number | 9132982634 |
| Mailing Telephone | 9138082020 |
| Mailing Fax Number | 9132982634 |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2018-06-29 |
| Authorized Official Name | DR. TYLER ROSS YOUNG (PRESIDENT/OPTOMETRIST) |
| Authorized Official Telephone | 9138082020 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1886 | KS | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 1886 | KS | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| InFocus Family Eyecare | Doing Business As Name - Organization |
| Street Address |
12129 SHAWNEE MISSION PKWY |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431925 | Sara Fattaey | Social Worker | 7020 Constance St, Shawnee, KS 66216 | 2017-04-17 |
| 1952778631 | Martin Gale Volker | Pharmacist | 13550 W 63rd Street, Shawnee, KS 66216 | 2015-08-28 |
| 1952799827 | Susan Thomure | Physical Therapy Assistant | 6401 Long, Shawnee, KS 66216 | 2014-12-31 |
| 1144594326 | Tom Wigginton Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 | 2012-03-06 |
| 1689801441 | Charles Richard Ford | Ophthalmology | 4742 Black Swan Drive, Shawnee, KS 66216 | 2009-06-18 |
| 1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1861442451 | Dayna M Brinckman | Dentist | 7407 Noland Rd, Shawnee, KS 66216 | 2006-05-12 |
| 1932164894 | Vintage Park At Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Road, Lenexa, KS 66216 | 2006-04-20 |
| 1255706842 | Everyday Breast Feeding Store Inc | Durable Medical Equipment & Medical Supplies | 12018 W 73rd St, Shawnee, KS 66216 | 2015-12-08 |
| Find all providers in zip 66216 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043646532 | Seema Amin | Optometrist | 14519 W 60th Ter, Shawnee, KS 66216-1510 | 2013-09-17 |
| 1063726941 | Kinsey Rachel Honeyman | Optometrist | 5433 Roberts Street, Shawnee, KS 66226 | 2010-08-03 |
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| 1164586699 | Michael Brian Watters | Optometrist | 2020 N Harrison, Shawnee, OK 74804 | 2006-12-20 |
| 1316009111 | Eye Associates of Shawnee Pa | Optometrist | 15951 W 65th St, Shawnee, KS 66217 | 2006-12-15 |
| 1881769008 | John D Kastl | Optometrist | 4901 N Kickapoo Ave, Suite#1606, Shawnee, OK 74804-1303 | 2006-11-22 |
| 1053494401 | Ryan Wineinger | Optometrist | 7505 Quivira Rd, Shawnee, KS 66216-3501 | 2006-10-21 |
| 1649373689 | Kirk F Hoster | Optometrist | 2109 N Kickapoo Ave, Shawnee, OK 74804-2732 | 2006-09-06 |
| 1881600062 | Andrew William Franken | Optometrist | 22407 W 66th St, Shawnee, KS 66226-3501 | 2006-07-31 |
| 1396751574 | Christopher William Arnold | Optometrist | 22414 W 66th St, Shawnee, KS 66226-3514 | 2006-07-31 |
| Find all providers in SHAWNEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.