Organization
ROGER YOUNG, PC
Active
Other names
Bayside Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ALLEN YOUNG O.D. (PRESIDENT)
(609) 886-7156
Entity
Organization
Contact information
Practice address
2004 BAYSHORE RD, VILLAS, NJ 08251-1815
(609) 886-1578
(609) 886-3520
Mailing address
2004 BAYSHORE RD, VILLAS, NJ 08251-1815
(609) 886-1578
(609) 886-3520
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
270A00383700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1865609
—
NJ
Enumeration date
05/23/2006
Last updated
06/03/2011
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