DR. BEVERLY YOUNG (NPI# 1962545194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962545194 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY YOUNG |
| Credential | O.D. |
| Practice Address |
1138 Newpark Mall Newark CA 94560-5246 |
| Mailing Address |
201 E Grant Line Rd #14 Tracy CA 95376-2763 |
| Practice Telephone | 5107901001 |
| Practice Fax Number | 5107901704 |
| Mailing Telephone | 2098327839 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2011-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9185 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452800 | Beverly Christine Young | Nurse Practitioner | 608 New Hope Rd Ste 8, Princeton, WV 24740-2287 | 2020-09-20 |
| 1023449790 | Beverly Oxendine Young II | Counselor | 111 Elba St, Lumberton, NC 28358-3457 | 2013-12-06 |
| 1386086932 | Beverly J Young | Specialist/Technologist | 600 22nd St Nw, Washington, DC 20052-0055 | 2013-07-24 |
| 1902913536 | Beverly Susan Young | Counselor | 2801 Aramon Dr, Rancho Cordova, CA 95670-4803 | 2006-08-23 |
| 1225511728 | Beverly Anne Young | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2018-09-11 |
| 1689963928 | Beverly R Young | Counselor | 1216 W Jefferson St, Kokomo, IN 46901-4341 | 2011-04-06 |
| 1962728527 | Beverly Ray Young | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2010-04-07 |
| 1427180710 | Beverly Ann Young | Counselor | 6162 E Mockingbird Ln, Suite 204, Dallas, TX 75214-2697 | 2007-03-12 |
| 1831296862 | Beverly Ann Young | Physical Therapy Assistant | 1120 Falcon Dr, Kennett, MO 63857-3825 | 2006-09-20 |
| 1679675599 | Beverly Kay Young | Psychiatry & Neurology | 8495 Crater Lake Hwy, Va Southern Oregon Rehabilitation Center and Clinics, White City, OR 97503 | 2006-09-01 |
| Street Address |
1138 NEWPARK MALL |
| City | NEWARK |
| State | CA |
| Zip Code | 94560-5246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114226776 | Visioncare of California | Optometrist | 1138 Newpark Mall, Newark, CA 94560-5246 | 2011-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1942788971 | Evelyn Ibanez | Behavioral Analyst | 35201 Lido Blvd, Newark, CA 94560 | 2018-08-01 |
| 1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1063761146 | Sarah Larae Devoe Scribner | Physical Therapist | 5600 John Muir Road, Newark, CA 94560 | 2012-09-05 |
| 1285983858 | Louie Crespo Ortiz-luis | General Practice | 35455 Dumbarton Court, Newark, CA 94560 | 2012-08-29 |
| 1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
| 1083931836 | Susan Elizabeth Hanaburgh | Marriage & Family Therapist | 39899 Balentine Drive #212, Family Service of The Tri-cities, Newark, CA 94560 | 2010-05-03 |
| 1306098694 | Maria Isabelle Santos Tuohy | Dentist | 5270 Newpark Plaza, Newark, CA 94560 | 2008-10-17 |
| 1699955765 | Jaspreet Kaur Harika | Dentist | 39736 Cedar Blvd, Newark, CA 94560 | 2007-11-06 |
| Find all providers in zip 94560 | ||||
| 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 |
|---|---|---|---|---|
| 1205210804 | Laila Osmani-nejat | Optometrist | 1057 Newpark Mall, Newark, CA 94560-5238 | 2015-07-13 |
| 1235547126 | Janelle Tertullien-mcdonald | Optometrist | 295 Ferry St, Newark, NJ 07105-3443 | 2014-07-24 |
| 1497039630 | Isee Optometry | Optometrist | 35149 Newark Blvd, Ste C, Newark, CA 94560-1209 | 2011-10-06 |
| 1396052163 | Tarra Justine Winchell | Optometrist | 19 Haines St, Suite B, Newark, DE 19711-4610 | 2010-09-01 |
| 1760796908 | Judy Thi Thu Hong Nguyen | Optometrist | 6247 Jarvis Ave, Newark, CA 94560-1212 | 2010-07-29 |
| 1851528772 | David Iosebashvili PC | Optometrist | 106 Ferry Str, Newark, NJ 07105 | 2009-06-18 |
| 1912185950 | Dr Lawrence Joseph Kruse Od | Optometrist | 1421 Kirkwood Highway, Suite 1106, Newark, DE 19711-5705 | 2008-02-01 |
| 1508053794 | John T. Lung | Optometrist | 35149 Newark Blvd Ste C, Newark, CA 94560-1219 | 2007-10-01 |
| 1629264817 | Michael Carmine Cerra | Optometrist | 500 Newpark Mall, Jc Penney Optical #11020, Newark, CA 94560-5202 | 2007-09-20 |
| 1093934465 | Donald Dean-rusk Guerrier | Optometrist | 677 Mt. Prospect Ave, Newark, NJ 07104 | 2007-04-24 |
| Find all providers in NEWARK | ||||
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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.