Wayne Matthew Young OPTOMETRY

NPI 1003988197 - Optometrist - 152W00000X

NPI Details
NPI 1003988197
Gender Male
Enumeration Date 11/14/2006
Last Updated 01/30/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1946 10TH AVE N
MYRTLE BEACH SC, 29577-5624, US
Phone (843) 946-9521
Fax (843) 916-1481
Business Location
1946 10TH AVE N
MYRTLE BEACH SC, 29577-5624, US
Phone (843) 946-9521
Fax (843) 916-1481
Toxanomy
Taxonomy Code 152W00000X
License State Ohio
License Number 5593 T2507
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According to our database, Dr. Wayne Matthew Young OPTOMETRY NPI is 1003988197, taxonomy code is 152W00000X and license number is 5593 T2507, license state is located at Ohio. Wayne Matthew Young OPTOMETRY physically located at 1946 10th Ave N, Myrtle Beach SC, 29577-5624. NPI Number Wayne Matthew Young OPTOMETRY has the Individual type.

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1003988197 NPI number is provided on an as is basis without warranty of any kind. 1003988197 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Matthew Young OPTOMETRY are for informational purposes only.