DR. GLENN YOUNG (NPI# 1427198126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427198126 |
| Entity Type | Individual |
| Full Name | DR. GLENN YOUNG |
| Credential | OD |
| Practice Address |
550 Forest Ave Ste 12 Plymouth MI 48170-1769 |
| Practice Telephone | 7344553340 |
| Practice Fax Number | 7342549230 |
| Mailing Telephone | 7344553340 |
| Mailing Fax Number | 7342549230 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2014-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003268 | MI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1255366423 | Glenn C Young | Optometrist | 2997 Highway 190, Vision Optique, Mandeville, LA 70471-3298 | 2006-07-12 |
| Street Address |
550 FOREST AVE STE 12 |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-1769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750601258 | Forest Place Optical LLC | Optometrist | 550 Forest Ave Ste 12, Plymouth, MI 48170-1769 | 2010-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| 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 |
|---|---|---|---|---|
| 1669998969 | Ryan Christopher Racette | Optometrist | 212 S Meadow Rd Unit 5c, Plymouth, MA 02360-5450 | 2017-08-17 |
| 1013442094 | Robert Ray Baltierra | Optometrist | 44429 Ann Arbor Rd W, Plymouth, MI 48170-3907 | 2017-04-27 |
| 1568779643 | Hooligan Adventures | Optometrist | 3185 Fernbrook Ln N, Plymouth, MN 55447-5320 | 2010-09-09 |
| 1235461708 | Full Sail Partners, LLC | Optometrist | 215 N Michigan St, Plymouth, IN 46563-2134 | 2010-02-08 |
| 1982895439 | Tate Herman | Optometrist | 16875 County Road 24, Ste.301, Plymouth, MN 55447-1290 | 2007-08-08 |
| 1164637591 | Francis J Aprea Od,pc | Optometrist | 22 Chilton St, Plymouth, MA 02360-3804 | 2007-05-11 |
| 1801921408 | Dennis M Picard | Optometrist | 670 S Main St, Plymouth, MI 48170-1711 | 2007-02-22 |
| 1073654802 | Glenna Anne Waitt | Optometrist | Bjs Optical, Glenna Waitt Od, Plymouth, MA 02360 | 2007-02-12 |
| 1902943822 | Plymouth Vision Center, Inc. | Optometrist | 16725 Cty Rd 24, Plymouth, MN 55447 | 2007-01-31 |
| 1366508293 | Bradley J Wicklund | Optometrist | 100 Carr Rd, Plymouth, WI 53073-9500 | 2006-12-28 |
| Find all providers in PLYMOUTH | ||||
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| 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.