Organization
VINCENT MICHAEL YOUNG OD PC
Active
Other names
Blanchard Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT MICHAEL YOUNG O.D. (OWNER)
(405) 485-3937
Entity
Organization
Contact information
Practice address
112 S. MAIN, BLANCHARD, OK 73010-8003
(405) 485-3937
(405) 485-3642
Mailing address
PO BOX 325, BLANCHARD, OK 73010-0325
(405) 485-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2441
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200066400A
—
OK
01
—
245720
COMPBENEFITS
OK
01
—
2569827
UNITEDHEALTHCARE PROV#
OK
01
—
5656891
FIRST HEALTH PROVIDER #
OK
01
—
7530792
AETNA PROVIDER NUMBER
OK
01
—
OK02441
VISION BENEFITS ACCT #
OK
01
—
OK2441
EYEMED
OK
Enumeration date
09/05/2006
Last updated
06/14/2013
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