Jerry Tuck Young in Jonesboro - Optometrist
Jerry Tuck Young - NPI 1104857333
Jerry Tuck Young is a Optometrist in Jonesboro, Arkansas. Jerry Tuck Young practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jerry Tuck Young is 1104857333. The last update date is 2010-06-09.
Jerry Tuck Young's current location address is 623 E Matthews Ave, Jonesboro, Arkansas. You can contact this provider via phone number 8709322211 and fax number 8709725152. The mailing address for Jerry Tuck Young is 623 E Matthews Ave, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Tuck Young |
|---|---|
| Address | 623 E Matthews Ave, Jonesboro, Arkansas |
| Phone Number | 8709322211 |
| Fax Number | 8709725152 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1104857333 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2010-06-09 |
Provider Mailing Address Detail
| Address | 623 E Matthews Ave |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724013145 |
| Phone Number | 8709322211 |
| Fax Number | 8709725152 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2350 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111019722 | AR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jerry Tuck Young by the Centers for Medicare & Medicaid Services?
The Jerry Tuck Young has been issued the NPI (National Provider Identifier) 1104857333. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jerry Tuck Young's physical address?
The Jerry Tuck Young is physically located at 623 E Matthews Ave, in the city of Jonesboro, AR, with the postal code 724013145.
What is Jerry Tuck Young's area of expertise and its corresponding taxonomy classification?
The Jerry Tuck Young's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jerry Tuck Young receive its 1104857333 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Tuck Young was assigned its 1104857333 by the Centers for Medicare & Medicaid Services on 2006-07-05.
As of what date were the Jerry Tuck Young's details last updated?
The information pertaining to the Jerry Tuck Young, including its address, specialty, and other details, was most recently updated on 2010-06-09.