Organization
EXPERT EYECARE SHADOW LAKE, PC
Active
Other names
Professional Eyecare Shadow Lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MARTIN YOUNG O.D (OWNER)
(402) 393-5876
Entity
Organization
Contact information
Practice address
7474 TOWNE CENTER PKWY, SUITE # 107, PAPILLION, NE 68046-4805
(402) 592-3266
(402) 592-3249
Mailing address
7474 TOWNE CENTER PKWY, SUITE # 107, PAPILLION, NE 68046-4805
(402) 592-3266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NE1064
NE
Other
Enumeration date
11/12/2008
Last updated
07/13/2009
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