Individual provider · NPI-1

Dr. Michael J Young, Optometrist

Optometrist · Santa Maria, CA

NPI number1063458727
StatusActive
Last updated in NPPESOct 24, 2023

Details

NPI
1063458727
Entity type
Individual (NPI-1)
Name
Dr. Michael J Young
Credential
Optometrist
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 21, 2006
Certification date
Oct 24, 2023
Last updated
Oct 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist10256CAYes
156FX1900X Technician/Technologist, Orthoptist10256CA

Other names

  • Michael J Young (Professional Name)

Practice location

4850 S Bradley Rd
Santa Maria, CA 93455-5071

Phone 805-937-9532 · Fax 805-937-6009

Mailing address

910 E Stowell Rd
Santa Maria, CA 93454-7001

Phone 805-925-2637 · Fax 805-925-9013

Other practice locations

327 E Plaza Dr Ste 1b
Santa Maria, CA 93454-6930

Phone 805-922-1993 · Fax 805-922-1994

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