Individual
DR. TRACY L. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
845 W CHESTER PIKE, WEST CHESTER, PA 19382-4878
(610) 692-8100
(610) 436-4011
Mailing address
845 W CHESTER PIKE, WEST CHESTER, PA 19382-4878
(610) 692-8100
(610) 436-4011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000208
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020433960001
—
PA
05
—
1020433960002
—
PA
05
—
1020433960003
—
PA
Enumeration date
09/14/2005
Last updated
10/15/2024
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