| Young Vision Group | |
|
327 Iberia St Youngsville LA 70592-5738 | |
| (337) 893-8976 | |
| (337) 893-8972 |
| Full Name | Young Vision Group |
|---|---|
| Speciality | Clinic/center |
| Location | 327 Iberia St, Youngsville, Louisiana |
| Authorized Official Name and Position | Byron Andrew Young (OPERATIONS MANAGER) |
| Authorized Official Contact | 3378575567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Vision Group Po Box 1077 Youngsville LA 70592-1077 Ph: (337) 857-5567 | Young Vision Group 327 Iberia St Youngsville LA 70592-5738 Ph: (337) 893-8976 |
| NPI Number | 1902088198 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 02/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902088198 | NPI | - | NPPES |
| 1320935 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD.013947 (Louisiana) | Primary |
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