Active NPIIndividual providerSole proprietor

Dr. Cassandra R Young, OD

Optometrist in Newington, Connecticut

NPI Number1437406881
Practice location
38 Fenn RD, Newington, CT 06111
Fax
—
Last updated
July 12, 2013

Cassandra Ruth Young is an Optometrist based in Newington, CT. Cassandra Ruth Young practices in Newington, CT and has the professional credentials of OD. The NPI Number for Cassandra Ruth Young is 1437406881 and holds a License No. 56 007897 (NY). The current practice location address for Cassandra Ruth Young is 38 Fenn RD, Newington, CT 06111 and can be reached out via phone at 860-436-4410.

Provider Profile Details

NPI Number
1437406881
Provider Name
Cassandra Ruth Young
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
38 Fenn RD, Newington, CT 06111
Phone Number
860-436-4410
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Other Names
-- Cassandra Ruth Donaudy (Former Name)
Provider Enumeration Date
August 4, 2012
Last Update Date
July 12, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
38 Fenn RD
Newington, CT 06111
Zip
06111
Phone Number
860-436-4410
Newington, CT 06111Get directions →

Provider Business Mailing Address Details

Address
38 Fenn RD
Newington, CT 06111-2212
City
Newington
State
CT
Zip
06111-2212
Phone Number
860-436-4410

License Information

License Number (1)
56 007897
License State (1)
NY
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
002876
License State (2)
CT
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Cassandra R Young, OD?

The NPI number of Dr. Cassandra R Young, OD is 1437406881. It was assigned on August 4, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Cassandra R Young, OD?

Dr. Cassandra R Young, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number 56 007897.

Where does Dr. Cassandra R Young, OD practice?

The practice location is 38 Fenn RD, Newington, CT 06111. The office can be reached at 860-436-4410 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437406881 directly on the NPPES registry website.

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