Young, Wallace Howard
Young, Wallace Howard is an sole proprietor health care provider with primary practice located at 10426 Briarcove Ln , Cincinnati OH 45242-4602. He recently has 3 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 / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Young, Wallace Howard can be contacted via phone (513) 793-5150.Contact Information
Primary practice address
10426 Briarcove Ln
Cincinnati OH 45242-4602
Phone: (513) 793-5150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3053 | Ohio |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 3053 | Ohio |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 3053 | Ohio |
Profile Details
| NPI number | 1811039407 |
|---|---|
| LBN Legal business name | Young, Wallace Howard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1811039407 | NPPES |
| Ohio | MEDICAID | 0227016 |
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