MICHAEL O YOUNG OD PC


Address: 6424 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804-6204
Phone: 2609691400

MICHAEL O YOUNG OD PC (NPI# 1487724258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487724258
Entity Type Organization
Organization Name MICHAEL O YOUNG OD PC
Practice Address 6424 W Jefferson Blvd
Suite A
Fort Wayne
IN 46804-6204
Practice Telephone 2609691400
Practice Fax Number 2609690322
Mailing Telephone 2609691400
Mailing Fax Number 2609690322
Enumeration Date 2006-11-09
Last Update Date 2012-11-28
Authorized Official Name MICHAEL OWEN YOUNG (PRESIDENT)
Authorized Official Telephone 2609691400
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 18002134A IN Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
SPECTERA 18808 01
IN 100080510A 05
EYEMED IN2134 01

Office Location

Street Address 6424 W JEFFERSON BLVD
SUITE A
City FORT WAYNE
State IN
Zip Code 46804-6204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013903962 Tristate Optical, Inc. Eyewear Supplier (Equipment, not the service) 6424 W Jefferson Blvd, Fort Wayne, IN 46804-6204 2005-09-26
1245439140 Alvarez Vision Services Inc Optometrist 6424 W Jefferson Blvd, Fort Wayne, IN 46804-6204 2007-07-12
1043380819 Michael Owen Young Optometrist 6424 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804-6204 2006-11-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
Find all providers in zip 46804

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164046967 Dr Bennett LLC Optometrist 1850 E Dupont Rd, Fort Wayne, IN 46825-1581 2020-06-08
1043737737 Eyecare Express Optometrist 4826 Illinois Rd, Fort Wayne, IN 46804-1166 2017-08-24
1760906135 Brittany Hoolsema Optometrist 2121 Lake Ave # 112b, Fort Wayne, IN 46805-5100 2017-07-27
1801326533 Kimberly M Kindt Optometrist 9426 Lima Rd Ste C, Fort Wayne, IN 46818 2017-06-15
1083003008 Midwest Eye Consultants, P.C. Optometrist 1601 E Paulding Rd, Fort Wayne, IN 46816-1204 2015-01-14
1437494143 Fort Wayne Vision Associates Ltd Optometrist 515 E Coliseum Blvd, Fort Wayne, IN 46805-1215 2012-12-06
1033453220 Daniel & Max Optometrist 409 E Coliseum Blvd, Fort Wayne, IN 46805-1004 2012-11-12
1205114006 Ryan Feichtner Optometrist 700 E Coliseum Blvd, Fort Wayne, IN 46805-1220 2011-07-27
1760786503 C J Pataluch Od PC Optometrist 5659 Coventry Ln, Fort Wayne, IN 46804-7145 2011-01-10
1841436532 James H Pennington Od Optometrist 6421 Georgetown North Blvd, Fort Wayne, IN 46815-7007 2008-12-30
Find all providers in FORT WAYNE

Competitor

Search similar providers

City FORT WAYNE
Zip Code 46804

Improve Information

Please comment or provide details below to improve the information on MICHAEL O YOUNG OD PC.

Dataset Information

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.

Trending Searches