Whalio Doctors

NPI 1003498296

Connor David Young, OD

Practitioner Optometrist Indianapolis, IN

Practice location

Address
804 Broad Ripple Ave, Indianapolis, IN 46220-1961
Phone
(317) 257-5421
Fax
(317) 257-4086
Mailing address
1950 Old Gallows Rd STE 520, Vienna, VA 22182-3970

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 18004269A (IN)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1003498296
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Apr 2021
Record last updated
18 Jun 2021

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.