Organization
HARRIS R.YOUNG,O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRIS R YOUNG O.D. (PRESIDENT)
(707) 576-1961
Entity
Organization
Contact information
Practice address
1311 W STEELE LN, SANTA ROSA, CA 95403-2956
(707) 576-1961
(707) 576-1036
Mailing address
1311 W STEELE LN, SANTA ROSA, CA 95403-2956
(707) 576-1961
(707) 576-1036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT7395T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS4522
RAILROAD MEDICARE
CA
Enumeration date
01/12/2007
Last updated
06/08/2012
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