Young, Gary Patrick
Young, Gary Patrick is an sole proprietor health care provider with primary practice located at 12325 N Rockwell Ave , Oklahoma City OK 73142-2702. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Young, Gary Patrick can be contacted via phone (405) 728-3393.Contact Information
Primary practice address
12325 N Rockwell Ave
Oklahoma City OK 73142-2702
Phone: (405) 728-3393
Fax: (405) 728-3454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2117 | Oklahoma |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2117 | Oklahoma |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 2117 | Oklahoma |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 2117 | Oklahoma |
Profile Details
| NPI number | 1427109099 |
|---|---|
| LBN Legal business name | Young, Gary Patrick |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jun 23rd, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427109099 | NPPES |
| California | Other | 405782338 | VISION SERVICE PLAN |
| California | MEDICAID | 100760340A | VISION SERVICE PLAN |
| California | Other | 117187 | VISION SERVICE PLAN |
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