Jerry Tuck Young, OD | |
623 E Matthews Ave, Jonesboro, AR 72401-3145 | |
(870) 932-2211 | |
(870) 972-5152 |
Full Name | Jerry Tuck Young |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 39 Years |
Location | 623 E Matthews Ave, Jonesboro, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104857333 | NPI | - | NPPES |
111019722 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2350 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vision Care Center Of Northeast Arkansas Llc | 2860470374 | 8 |
Provider Name | Vision Care Center Of Northeast Arkansas Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447288097 PECOS PAC ID: 2860470374 Enrollment ID: O20040712000323 |
Mailing Address | Practice Location Address |
---|---|
Jerry Tuck Young, OD 623 E Matthews Ave, Jonesboro, AR 72401-3145 Ph: (870) 932-2211 | Jerry Tuck Young, OD 623 E Matthews Ave, Jonesboro, AR 72401-3145 Ph: (870) 932-2211 |
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