Whalio Doctors

NPI 1366554461

Roger F Young, OD

Practitioner Optometrist West Valley City, UT

Practice location

Address
3465 Pioneer Pkwy STE 5, West Valley City, UT 84120-2079
Phone
(801) 966-0081
Fax
(801) 966-0218
Mailing address
3465 Pioneer Pkwy STE 5, West Valley City, UT 84120-2081

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 4780952-9934 (UT)

Registry record

NPI
1366554461
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Aug 2006
Record last updated
30 Jun 2010

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.