Michael O Young Od PC

NPI #1487724258 in Fort Wayne, Indiana

Provider Information

NPI Number: 1487724258
Entity Type: Organization
Organization Name: Michael O Young Od PC
Primary Specialty: Optometrist
Enumeration Date: Nov 9, 2006
Last Updated: Nov 28, 2012

Practice Location

Address: 6424 W JEFFERSON BLVD
Address 2: SUITE A
City: Fort Wayne
State: Indiana
ZIP Code: 46804-6204
Phone: (260) 969-1400

Authorized Official

Name: MICHAEL OWEN YOUNG, OD
Title: PRESIDENT
Phone: (260) 969-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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