Individual
DR. TYLER ROSS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12129 SHAWNEE MISSION PKWY, SHAWNEE, KS 66216
(913) 808-2020
(913) 298-2634
Mailing address
12129 SHAWNEE MISSION PKWY, SHAWNEE, KS 66216-1829
(913) 808-2020
(913) 298-2634
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1886
KS
152W00000X
Optometrist
2010020777
MO
152WC0802X
Corneal and Contact Management Optometrist
1886
KS
Other
Enumeration date
07/02/2010
Last updated
06/29/2018
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