Individual
HEIDI L. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
100 HIGHLAND AVE, SUITE 304, PROVIDENCE, RI 02906
(401) 728-1400
(401) 270-9623
Mailing address
100 HIGHLAND AVE., SUITE 304, PROVIDENCE, RI 02906
(401) 728-1400
(401) 270-9623
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00496
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9007970
—
RI
Enumeration date
09/22/2006
Last updated
03/19/2012
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