KEVIN YOUNG (NPI# 1639547870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639547870 |
| Entity Type | Individual |
| Full Name | KEVIN YOUNG |
| Practice Address |
2915 N Broadway St Chicago IL 60657-5313 |
| Practice Telephone | 7738573328 |
| Practice Fax Number | 7738573329 |
| Mailing Telephone | 7738573328 |
| Mailing Fax Number | 7738573329 |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625882 | Kevin Jing Young | Physical Therapist | 2300 W Beverly Blvd Ste 202, Montebello, CA 90640-2380 | 2019-12-06 |
| 1174640155 | Kevin Edward Young | Dentist | 9391 S Old State Rd, Lewis Center, OH 43035 | 2007-03-23 |
| 1740356013 | Kevin L Young | Counselor | 2312 Peachford Rd, Suite C, Atlanta, GA 30338-7143 | 2006-11-28 |
| 1356312912 | Kevin W. Young | Psychiatry & Neurology | 315 E 9th St, Crowley, LA 70526-3707 | 2006-01-31 |
| 1609489053 | Kevin R Young | Pharmacist | 7065 La Palma Ave, Buena Park, CA 90620-2424 | 2020-08-26 |
| 1093375933 | Kevin Kendell Young | Physician Assistant | 330 White Oak Rd, Fredericksburg, VA 22405-2792 | 2019-06-13 |
| 1891250270 | Kevin Christopher Young | Psychologist | 11227 Lockwood Dr, Silver Spring, MD 20901-4554 | 2019-02-10 |
| 1720413982 | Kevin Wayne Young | Occupational Therapist | 540 S Main St, Mount Angel, OR 97362-9540 | 2013-09-06 |
| 1871844621 | Kevin Patrick Young | Clinical Neuropsychologist | 200 Retreat Ave, Hartford Hospital/ Institute of Living, Hartford, CT 06106-3309 | 2012-09-19 |
| 1679830343 | Kevin Young | Pharmacist | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2012-04-18 |
| Street Address |
2915 N BROADWAY ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396114807 | Michael Weng | Technician/Technologist | 2915 N Broadway St, Chicago, IL 60657-5313 | 2015-09-15 |
| 1235507179 | Iconic Optical | Optometrist | 2915 N Broadway St, Chicago, IL 60657-5313 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700364171 | National Vision Inc | Technician/Technologist | 4068 North Milwaukee Avenue, Chicago, IL 60641 | 2018-07-30 |
| 1184140014 | Efp Opticians On Dearborn, LLC | Technician/Technologist | 1205 N Dearborn St, Chicago, IL 60610-2213 | 2017-08-22 |
| 1205291267 | National Vision, Inc. | Technician/Technologist | 11750 S Marshfield Ave, Chicago, IL 60643-4904 | 2015-12-17 |
| 1336565985 | Vytautas Tamulis | Technician/Technologist | 3457 W 111th St, Chicago, IL 60655-3335 | 2014-03-06 |
| 1477993186 | Wal-mart Stores Inc | Technician/Technologist | 10900 S. Doty Ave, Chicago, IL 60064 | 2013-06-26 |
| 1649610593 | Zb Optical Inc. | Technician/Technologist | 7847 S Maryland Ave, Suite 100b, Chicago, IL 60619 | 2013-06-25 |
| 1538482344 | Polo Optyka Inc | Technician/Technologist | 3021 N Milwaukee Ave, Chicago, IL 60618-6612 | 2010-03-08 |
| 1609013143 | Price Optical Limited | Technician/Technologist | 8541 S Cottage Grove Ave, Chicago, IL 60619-6115 | 2009-01-20 |
| 1487817409 | Guile's Eyewear Boutique Inc. | Technician/Technologist | 3041 N Lotus Ave, Chicago, IL 60641-4818 | 2008-07-09 |
| 1699941682 | Renee Russo | Technician/Technologist | 2121 W Division St, Chicago, IL 60622-2948 | 2008-04-30 |
| Find all providers in CHICAGO | ||||
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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.