Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jerry Tuck Young, OD

Q: What is the NPI number for Jerry Young?

The National Provider Identifier (NPI) for Jerry Young is 1104857333, a Type 1 (individual) record in the CMS NPPES registry.

Optometrist in Jonesboro, AR · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104857333

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Registry record

Entity type Individual (Type 1)

Name Jerry Tuck Young

Credential OD

Sex Male

Practice address 623 E Matthews Ave, Jonesboro, AR, 72401

Phone (870) 932-2211

Fax (870) 972-5152

Enumeration date Jul 5, 2006

Last updated in NPPES Sep 25, 2024

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 2350 (AR) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
111019722	Medicaid	AR	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jerry Young practice?

The practice location on file with NPPES is in Jonesboro, AR. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jerry Young?

The National Provider Identifier (NPI) for Jerry Young is 1104857333, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-25.