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Individual
DR. MICHAEL RAYMOND YOUNG
Active
Individual
DR. MICHAEL RAYMOND YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
09131T
CA
152WC0802X
Corneal and Contact Management Optometrist
09131T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
09131T
CA
152WP0200X
Pediatric Optometrist
09131T
CA
152WS0006X
Sports Vision Optometrist
09131T
CA
152WV0400X
Vision Therapy Optometrist
09131T
CA
152WX0102X
Occupational Vision Optometrist
09131T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410027235
RAIL ROAD MEDICARE
CA
01
—
680230976
VISION SERVICE PLAN
CA
05
—
SD0091310
—
CA
Enumeration date
05/13/2006
Last updated
01/29/2008
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