| Harris R.young,o.d. | |
|
1311 W Steele Ln, Santa Rosa, CA 95403-2956 | |
| (707) 576-1961 | |
| (707) 576-1036 |
| Full Name | Harris R.young,o.d. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1311 W Steele Ln, Santa Rosa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174673727 | NPI | - | NPPES |
| DS4522 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT7395T (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Harris R.young,o.d. 1311 W Steele Ln, Santa Rosa, CA 95403-2956 Ph: (707) 576-1961 | Harris R.young,o.d. 1311 W Steele Ln, Santa Rosa, CA 95403-2956 Ph: (707) 576-1961 |
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