Roger Young, Pc in Villas - Eyewear Supplier
Roger Young, Pc - NPI 1205881109
Roger Young, Pc is a Eyewear Supplier in Villas, New Jersey. Roger Young, Pc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Roger Young, Pc is 1205881109. The last update date is 2011-06-03.
Roger Young, Pc's current location address is 2004 Bayshore Rd, Villas, New Jersey. You can contact this provider via phone number 6098861578 and fax number 6098863520. The mailing address for Roger Young, Pc is 2004 Bayshore Rd, Villas, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Roger Young, Pc |
|---|---|
| Address | 2004 Bayshore Rd, Villas, New Jersey |
| Phone Number | 6098861578 |
| Fax Number | 6098863520 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Young Allen Roger |
| Credentials | O.D. |
| Telephone Number | 6098867156 |
NPI Number Detail
| NPI Number | 1205881109 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2011-06-03 |
Provider Mailing Address Detail
| Address | 2004 Bayshore Rd |
|---|---|
| City | Villas |
| State | New Jersey (NJ) |
| Post Code | 82511815 |
| Phone Number | 6098861578 |
| Fax Number | 6098863520 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 270A00383700 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1865609 | NJ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Roger Young, Pc by the Centers for Medicare & Medicaid Services?
The Roger Young, Pc has been issued the NPI (National Provider Identifier) 1205881109. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Roger Young, Pc?
The Roger Young, Pc is physically situated at 2004 Bayshore Rd, in the city of Villas, state of NJ, with the postal code 82511815.
What is the area of specialization for Roger Young, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Roger Young, Pc is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205881109 to Roger Young, Pc?
The Roger Young, Pc received its 1205881109 assignment from the Centers for Medicare & Medicaid Services on 2006-05-23.
As of what date were the Roger Young, Pc's details last updated?
The information pertaining to the Roger Young, Pc, including its address, specialty, and other details, was most recently updated on 2011-06-03.
NPI Number: 1962405878
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