Individual
ARTHUR T YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(239) 939-3456
Mailing address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(239) 939-3456
(239) 936-8212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084222200
—
FL
01
—
19800
BLUE CROSS BLUE SHIELD
FL
01
—
19800X
MEDICARE ID UNSPECIFIED
FL
01
—
4785695
CIGNA
FL
01
—
5848106
AETNA
FL
Enumeration date
04/10/2006
Last updated
07/31/2008
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