Individual
MRS. VICTORIA G YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000001656
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2240332
UNITED HEALTHCARE
TN
01
—
3080841
BCBS
TN
Enumeration date
03/20/2006
Last updated
10/25/2010
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