Individual
DR. WALLACE HOWARD YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10426 BRIARCOVE LN, CINCINNATI, OH 45242-4602
(513) 793-5150
Mailing address
10426 BRIARCOVE LN, CINCINNATI, OH 45242-4602
(513) 793-5150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3053
OH
152WC0802X
Corneal and Contact Management Optometrist
3053
OH
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
3053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227016
—
OH
Enumeration date
02/12/2007
Last updated
09/11/2025
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