Young, Joseph Keith
Young, Joseph Keith is an individual health care provider with primary practice located at 10 Fawnwood Rd , Sandy Hook CT 06482-1400. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Young, Joseph Keith can be contacted via phone (203) 364-1964.Contact Information
Primary practice address
10 Fawnwood Rd
Sandy Hook CT 06482-1400
Phone: (203) 364-1964
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 002528 | Connecticut |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 002528 | Connecticut |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 002528 | Connecticut |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 002528 | Connecticut |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002528 | Connecticut |
Profile Details
| NPI number | 1649336355 |
|---|---|
| LBN Legal business name | Young, Joseph Keith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Mar 10th, 2023 - about last year |
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 | 1649336355 | NPPES |
| Connecticut | Other | 002528 | CT OD LICENSE |
| Connecticut | Other | 29317 | CT OD LICENSE |
| Connecticut | Other | OPC3411 | CT OD LICENSE |
| Connecticut | Other | 06-1581140 | CT OD LICENSE |
| Connecticut | Other | 1225224694 | CT OD LICENSE |
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