Michael O Young Od PC
Michael O Young Od PC is a healthcare organization registered as Optometrist in Fort Wayne, IN, holding Type 2 (organization) NPI 1487724258 since 2006. The authorized official on file is Michael Young, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487724258 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Michael O Young Od PC |
| Practice address | 6424 W JEFFERSON BLVD, SUITE A, Fort Wayne, IN, 46804 |
| Phone | 2609691400 |
| Fax | 2609690322 |
| Enumeration date | 2006-11-09 |
| Last updated in NPPES | 2012-11-28 |
Authorized official
| Name | Michael Young |
|---|---|
| Title | President |
| Phone | 2609691400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 18002134A | IN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18808 | Other | — | SPECTERA |
| IN2134 | Other | — | EYEMED |
| 100080510A | Medicaid | IN | — |
Copy-ready billing details
Provider: Michael O Young Od PC NPI: 1487724258 Taxonomy: 152W00000X (Optometrist) Address: 6424 W JEFFERSON BLVD, SUITE A, Fort Wayne, IN, 46804
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1013903962 | Tristate Optical, Inc. | Organization | Eyewear Supplier | Fort Wayne, IN |
| 1043380819 | Michael Young | Individual | Optometrist | Fort Wayne, IN |
| 1114504032 | Nicolas A Soulier P C | Organization | Optometrist | Fort Wayne, IN |
| 1578459426 | Lauren Cunningham | Individual | Optometrist | Fort Wayne, IN |
Verify this record
Cross-check NPI 1487724258 against the authoritative CMS record: view Michael O Young Od PC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Michael O Young Od PC?
Who is the authorized official for Michael O Young Od PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-11-28.