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General NPI Number Information
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NPI Number | 1295539609
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Entity Type | Organization
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Legal Business Name | YOUNG EYE OPTOMETRY PLLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 2272 95TH ST STE 105
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City | NAPERVILLE
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State | IL
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Zip | 60564-8944
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Country | US
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Telephone | 630-922-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 1552 S ROUTE 59 # 1347
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City | NAPERVILLE
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State | IL
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Zip | 60564-5941
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JEFFREY YOUNG JR.
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Credential | OD
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Telephone | 630-886-1686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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