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HEIDI L. YOUNG O.D.
NPI 1952401978
Optometrist in Providence, RI

Active since September 22, 2006PECOS Enrolled
100 HIGHLAND AVE, SUITE 304, PROVIDENCE, RI 02906(401) 728-1400(401) 270-9623 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heidi L. Young O.d. NPPES

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

HEIDI L. YOUNG O.D. (NPI 1952401978) is an individual optometrist in Providence, Rhode Island, licensed in Rhode Island (ODTG00496) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1990).

NPPES Registry Identity

NPI1952401978
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameHEIDI L. YOUNGCredential: O.D.
Location Address100 HIGHLAND AVE, SUITE 304Providence, RI 02906
Mailing Address100 Highland Ave., Suite 304Providence, RI 02906 · (401) 728-1400 · Fax (401) 270-9623
Phone(401) 728-1400
Fax(401) 270-9623
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1990
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMarch 19, 2012
✔ NPI 1952401978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in RI · ODTG00496
Definition
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.
100 HIGHLAND AVE, Providence, RI 02906
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Other Identifiers 5

Medicare UPINRI419026334
Medicare UPINU38206RI
Medicare UPINU38206
Medicare ID-Type Unspecified419026334RI
Medicaid9007970RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi L. Young O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921060542
PECOS Enrollment IDI20041027000239
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Heidi Young reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ezra L. Galler, M.D., Ltd.
Same address
Ophthalmology
100 HIGHLAND AVENUE, SUITE 304
Providence, RI 02906
  • Reassigned Medicare billing, Rhode Island enrollment
  • Medicare enrollment name: Ezra L Galler MD Ltd
  • 6 clinicians in this Medicare group
NPI 1184630717 (401) 728-1400
Rhode Island Optometrics, LLC
9.0 mi
Optometrist
1400 OAKLAWN AVE
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 20 clinicians in this Medicare group
NPI 1275024135 (401) 463-6696

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MISS VORAWAN UMMARITCHOT M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 HIGHLAND AVE, SUITE 203
PROVIDENCE, RI 02906
Providence County (401) 351-7100
STEPHANIE SACHS
Massage Therapist
100 HIGHLAND AVE, SUITE 102
PROVIDENCE, RI 02906
Providence County (401) 305-5280
PETRO KARANASIAS MD
Psychiatry & Neurology (Neurology)
100 HIGHLAND AVE, SUITE 303
PROVIDENCE, RI 02906
Providence County (401) 272-1883
JONAH M LICHT MD
Internal Medicine (Nephrology)
100 HIGHLAND AVE
PROVIDENCE, RI 02906
Providence County (401) 277-9729
DR. WILLIAM MASON STONE M.D.
Psychiatry & Neurology (Neurology)
100 HIGHLAND AVE
PROVIDENCE, RI 02906
Providence County (401) 351-3312
LYNN H SOMMERVILLE MD PHD
Internal Medicine
100 HIGHLAND AVE, #302
PROVIDENCE, RI 02906
Providence County (401) 331-8338
SMITH INTERNAL MEDICINE GROUP LTD
Internal Medicine
100 HIGHLAND AVE, SUITE 203
PROVIDENCE, RI 02906
Providence County (401) 521-2002
MARILYN NICOLLE CASTRO LMHC-A, M. OF EDU
Counselor
100 HIGHLAND AVE
PROVIDENCE, RI 02906
Providence County (401) 383-5051

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 Heidi Young's NPI number?

The NPI number for Heidi Young is 1952401978. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Heidi Young located?

Heidi Young practices at 100 Highland Ave Suite 304, Providence, RI 02906. The listed phone number is (401) 728-1400.

What is Heidi Young's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Heidi Young enrolled in Medicare?

Yes. Heidi Young is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heidi Young's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Young reassigns Medicare benefits to 2 organizations: Ezra L. Galler, M.D., Ltd. (Providence, RI) and Rhode Island Optometrics, LLC (Cranston, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heidi Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heidi Young accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Heidi Young as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heidi Young was last updated on March 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.