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Individual

DR. GARY PATRICK YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
12325 N ROCKWELL AVE, OKLAHOMA CITY, OK 73142-2702
(405) 728-3393
(405) 728-3454
Mailing address
12325 N ROCKWELL AVE, OKLAHOMA CITY, OK 73142-2702
(405) 728-3393
(405) 728-3454

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2117
OK
152WC0802X
Corneal and Contact Management Optometrist
2117
OK
152WS0006X
Sports Vision Optometrist
2117
OK
152WX0102X
Occupational Vision Optometrist
2117
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100760340A
OK
01
117187
EYEMED VISION PLAN
OH
01
405782338
VISION SERVICE PLAN
CA
Enumeration date
01/12/2007
Last updated
06/23/2009
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