DR. TYLER ROSS YOUNG (NPI# 1548572811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548572811 |
| Entity Type | Individual |
| Full Name | DR. TYLER ROSS YOUNG |
| Credential | O.D. |
| 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 | 2010-07-02 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1886 | KS | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2010020777 | MO | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1886 | KS | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284356 | Tyler Young | Social Worker | 73140 Guadalupe Ave, Palm Desert, CA 92260-2858 | 2020-10-31 |
| 1598306367 | Tyler Douglas Young | Physical Medicine & Rehabilitation | 328 E State St, Herkimer, NY 13350-2026 | 2019-10-03 |
| 1174083448 | Tyler James Young | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Ste 3.286, Houston, TX 77030-1501 | 2019-03-22 |
| 1861513558 | Tyler Jacob Young | Counselor | 1226 W South Jordan Pkwy Ste A, South Jordan, UT 84095-5518 | 2007-04-02 |
| 1922582949 | Tyler Young | Physical Therapist | 1401 S Beretania St Ste 610, Honolulu, HI 96814-1873 | 2018-09-17 |
| 1225546906 | Tyler Young | Physician Assistant | 800 W Boise Cir, Ste 280, Broken Arrow, OK 74012-4954 | 2018-01-17 |
| 1790201515 | Tyler Young | Speech-Language Pathologist | 6501 S Cass Ave, Westmont, IL 60559-3200 | 2017-08-15 |
| 1821542028 | Tyler William Young | Pharmacist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2016-08-05 |
| 1073958807 | Tyler Young | Pharmacist | 405 Se Everett Mall Way, T-337, Everett, WA 98208-3243 | 2013-05-07 |
| 1851687669 | Tyler B Young | Physical Therapist | 1368 Southlake Plaza Dr, Morrow, GA 30260-1756 | 2011-06-21 |
| Street Address |
12129 SHAWNEE MISSION PKWY |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396253191 | Tyler Young, O.d., P.a. | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2018-01-14 |
| 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 |
| 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 |
| 1144264235 | Clifford L Holt | Optometrist | 6435 Nieman Rd, Shawnee, KS 66203-3325 | 2006-06-16 |
| 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.