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DR. TIMOTHY YOUNG M.D.
NPI 1710984422
Ophthalmology in Clearlake, CA

Active since July 07, 2005
3400 EMERSON ST, STE A, CLEARLAKE, CA 95422(707) 995-4155(707) 995-4158 Get Directions Write a Review

NPPES record last updated: April 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy Young M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY YOUNG M.D. (NPI 1710984422) is an individual ophthalmology provider in Clearlake, California, licensed in California (A41608) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1710984422
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. TIMOTHY YOUNGCredential: M.D.
Location Address3400 EMERSON ST, STE AClearlake, CA 95422-9529
Mailing Address3400 Emerson St, Ste AClearlake, CA 95422-9529 · (707) 995-4155 · Fax (707) 995-4158
Phone(707) 995-4155
Fax(707) 995-4158
Sole ProprietorYes
Enumeration DateJuly 7, 2005
Last NPPES UpdateApril 17, 2009
✔ NPI 1710984422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A41608
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3400 EMERSON ST, Clearlake, CA 95422
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Other Identifiers 4

Other080005029Medicare Railroad #
Medicare ID-Type Unspecified00A416080CA
Medicaid00A416080CA
Medicare UPINA29416CA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARC R SHAPIRO MEDICAL CORP
Internal Medicine
3400 EMERSON ST, SUITE A
CLEARLAKE, CA 95422
Lake County (707) 994-7241
MARC RANDALL SHAPIRO MD
Internal Medicine
3400 EMERSON ST, SUITE A
CLEARLAKE, CA 95422
Lake County (707) 994-7241
WILLIAM F. CRESS, MD, INC
Orthopaedic Surgery
3400 EMERSON ST, STE B
CLEARLAKE, CA 95422
Lake County (707) 994-1533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Young's NPI number?

The NPI number for Timothy Young is 1710984422. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Timothy Young located?

Timothy Young practices at 3400 Emerson St Ste A, Clearlake, CA 95422. The listed phone number is (707) 995-4155.

What is Timothy Young's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Timothy Young was last updated on April 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.