NPI 1336255181

Young Image Optical

Organisation Eyewear Supplier Kirksville, MO

Practice location

Address: 2121 N Baltimore St Suite #2, Kirksville, MO 63501-5110
Phone: (660) 665-2010
Mailing address: PO Box 1095 Stuite #2, Kirksville, MO 63501-1095

Authorised official

Name: Harry B. Young
Title: Owner
Phone: (660) 665-2010

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 16226933 (MO)

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Registry record

NPI: 1336255181
Entity type: Organization
NPI issued: 22 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.