Organization
YOUNG OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY JANE YOUNG (OWNER MANAGER)
(254) 883-3051
Entity
Organization
Contact information
Practice address
226 COLEMAN, STE 103, MARLIN, TX 76661
(254) 883-3051
(254) 803-3487
Mailing address
PO BOX 80, MARLIN, TX 76661-0080
(254) 883-3051
(254) 803-3484
Taxonomy
Speciality
Code
Description
License number
State
156FX1201X
Optometric Assistant Technician
Primary
—
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066494801
—
TX
Enumeration date
02/02/2008
Last updated
07/22/2008
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