NPI 1003498296
Connor David Young, OD
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
Student in an Organized Health Care Education/Training Program
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.