# WADE E YOUNG MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tiffin Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639111289
- **Authorized official:** BLAIR YOUNG CLARK DO (PRESIDENT)
- **Authorized official phone:** (194) 488-8811

## Contact information

- **Practice address:** 60 ASHWOOD DR, TIFFIN, OH 44883-1908
- **Practice address phone:** (419) 448-8811
- **Practice address fax:** (419) 448-7418
- **Mailing address:** 60 ASHWOOD DR, TIFFIN, OH 44883-1908
- **Mailing address phone:** (419) 448-8811
- **Mailing address fax:** (419) 448-7418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 4855T1825 | OH | — |
| 207W00000X | Ophthalmology Physician | 35050815 | OH | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 04/28/2022