Individual
DR. THOMAS A YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
211 E HAVENS ST, MITCHELL, SD 57301-4402
(605) 996-4671
(605) 996-4671
Mailing address
211 E HAVENS ST, MITCHELL, SD 57301-4402
(605) 996-4671
(605) 996-4671
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
451
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076548
BLUE CROSS BLUE SHIELD
SD
01
—
0530030001
DMERC
SD
01
—
4266
AVERA HEALTH PLANS
SD
05
—
9201890
—
SD
01
—
P00849313
RAILROAD MEDICARE
SD
Enumeration date
08/01/2006
Last updated
10/18/2010
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