Organization
YOUNG EYES, LLC
Active
Other names
Village Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH KEITH YOUNG OD (OPTOMETRIST)
(203) 733-7877
Entity
Organization
Contact information
Practice address
25 CHURCH HILL RD UNIT 205, NEWTOWN, CT 06470-1639
(203) 733-7877
Mailing address
10 FAWNWOOD RD, SANDY HOOK, CT 06482-1400
(203) 733-7877
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002528
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002528
CT OD LICENSE
CT
01
—
29317
CT THERAPEUTIC
CT
Enumeration date
09/19/2007
Last updated
03/07/2023
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