YOUNG IMAGE OPTICAL; NPI #1336255181

Contact Information

YOUNG IMAGE OPTICAL

2121 N BALTIMORE ST
SUITE #2
KIRKSVILLE, MO 63501-5110

Phone: 660-665-2010
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for YOUNG IMAGE OPTICAL

NPI Number 1336255181

LBN Legal business name YOUNG IMAGE OPTICAL

Authorized official HARRY YOUNG - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/22/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

16226933

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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YOUNG IMAGE OPTICAL

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for YOUNG IMAGE OPTICAL

Reviews for YOUNG IMAGE OPTICAL