Individual
MARY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6985 W 38TH ST, STE 100, INDIANAPOLIS, IN 46254-3916
(317) 243-0028
Mailing address
9795 CROSSPOINT BLVD, STE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003938
IN
Other
Enumeration date
10/23/2015
Last updated
01/22/2018
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