Organization
YOUNG'S CLASSIC EYEWEAR INC
Active
Other names
Young Classic Eyewear Inc
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK A YOUNG (OWNER)
(248) 305-9557
Entity
Organization
Contact information
Practice address
23510 HIGHMEADOW DR, NOVI, MI 48375-3229
(248) 305-9557
Mailing address
23510 HIGHMEADOW DR, NOVI, MI 48375-3229
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540F316320
BCBSM
MI
Enumeration date
01/29/2009
Last updated
01/29/2009
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