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Individual
ARTHUR T YOUNG
Active
Individual
ARTHUR T YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084222200
—
FL
01
—
19800
BLUE CROSS BLUE SHIELD
FL
01
—
19800X
MEDICARE ID UNSPECIFIED
FL
01
—
4785695
CIGNA
FL
01
—
5848106
AETNA
FL
Enumeration date
04/10/2006
Last updated
07/31/2008
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