SearchIndianaOptometrist

Michael Young, OD

NPI 1043380819 · on the registry since 2006

Practice

Address
6424 W Jefferson Blvd
Suite A
Fort Wayne, IN 46804
Phone
(260) 436-7530
Fax
(260) 436-2698
Organisation at this address
Nicolas A Soulier P C
Michael O Young Od Pc
Tristate Optical, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana