GLENN C YOUNG (NPI# 1255366423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255366423 |
| Entity Type | Individual |
| Full Name | GLENN C YOUNG |
| Credential | OD |
| Practice Address |
2997 Highway 190 Vision Optique Mandeville LA 70471-3298 |
| Mailing Address |
Po Box 1950 Vision Optique Inc Mandeville LA 70470-1950 |
| Practice Telephone | 9857279948 |
| Mailing Telephone | 9857279948 |
| Mailing Fax Number | 9852376008 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 601 | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1679721 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427198126 | Glenn Young | Optometrist | 550 Forest Ave Ste 12, Plymouth, MI 48170-1769 | 2007-02-08 |
| 1881044980 | Glenn Young | Pharmacist | 160 E 34th St, New York, NY 10016-4744 | 2016-06-20 |
| 1306972658 | Glenn Richard Young | Dentist | 974 73rd St, Ste.#3, Windsor Heights, IA 50312-1024 | 2007-02-23 |
| 1518046341 | Glenn Thomas Young | Specialist | 425 N Highland Ave, # 130, Sherman, TX 75092-7377 | 2006-11-03 |
| 1205910015 | Glenn Arthur Young | Dentist | 1151 E Main St, Suite A, Radford, VA 24141-1761 | 2006-10-25 |
| 1508948639 | Glenn D. L. Young | Internal Medicine | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2006-10-19 |
| Street Address |
2997 HIGHWAY 190 VISION OPTIQUE |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471-3298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134152408 | Vision Optique Inc | Eyewear Supplier (Equipment, not the service) | 2997 Highway 190, Mandeville, LA 70471-3298 | 2006-07-09 |
| 1407238777 | Brian Bratcher | Optometrist | 2997 Highway 190, Mandeville, LA 70471-3298 | 2015-06-23 |
| 1215160361 | Rakhi Patel | Optometrist | 2997 Highway 190, Mandeville, LA 70471-3298 | 2009-08-24 |
| 1275617425 | Vision Optique Inc | Optometrist | 2997 Highway 190, Mandeville, LA 70471-3298 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598311193 | Lauren Agnew | Optometrist | 3601 Highway 190 Ste B, Mandeville, LA 70471-8632 | 2019-08-11 |
| 1265870133 | James Connor | Optometrist | 2180 N Causeway Blvd Ste 10, Mandeville, LA 70471-6503 | 2013-06-12 |
| 1497901540 | Katie Kimble Wonch, O.d., LLC | Optometrist | 3933 Highway 59, Mandeville, LA 70471-1958 | 2008-08-08 |
| 1952428005 | St. Charles Vision Outlet Mandeville, LLC | Optometrist | 1844 N. Causeway Blvd., Mandeville, LA 70471 | 2007-03-23 |
| 1598858789 | Patrick Adema | Optometrist | 2180 N Causeway Blvd, Mandeville, LA 70471-6503 | 2006-10-02 |
| 1104924588 | Kristi W Cook | Optometrist | 1844 N Causeway Blvd, Mandeville, LA 70471-3112 | 2006-09-20 |
| 1700846581 | C.j. Pollet | Optometrist | 3421 Highway 190, Mandeville, LA 70471-3101 | 2006-03-24 |
| 1912903162 | Oliver Wendell Whitney | Optometrist | 1580 W Causeway Approach, Ste 3, Mandeville, LA 70471-3033 | 2005-06-22 |
| 1700401791 | Connor Eye Care | Optometrist | 2180 N Causeway Blvd Ste 10, Mandeville, LA 70471-6503 | 2020-06-15 |
| 1326557752 | Artis Beatty A Professional Optometry Corporation | Optometrist | 1844 N Causeway Blvd, Mandeville, LA 70471-3112 | 2017-09-28 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
Please comment or provide details below to improve the information on GLENN C YOUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.