Young, Laura Mae
Young, Laura Mae is an individual health care provider with primary practice located at 1401 Sylvan Ave , Modesto CA 95355-1367. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Young, Laura Mae can be contacted via phone (209) 527-6640.Contact Information
Primary practice address
1401 Sylvan Ave
Modesto CA 95355-1367
Phone: (209) 527-6640
Fax: (209) 527-5489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6585TPA | California |
Profile Details
| NPI number | 1710968698 |
|---|---|
| LBN Legal business name | Young, Laura Mae |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Sep 6th, 2012 - about 12 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 | 1710968698 | NPPES |
| California | Other | 16478 | MEDICAL EYE SERVICES |
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