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Individual

MR. EUGENE F YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
415 MAIN ST, MEDINA, NY 14103-1416
(585) 798-4671
(585) 798-4672
Mailing address
415 MAIN ST, MEDINA, NY 14103-1416
(585) 798-4671
(585) 798-4672

Taxonomy

Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
C005349-1
NY
156FX1800X
Optician
C005349-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01535657
NY
Enumeration date
03/17/2007
Last updated
09/11/2025
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