Young, Roger F

Young, Roger F is an individual health care provider with primary practice located at 3465 Pioneer Pkwy Ste 5 , West Valley City UT 84120-2079. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Young, Roger F can be contacted via phone (801) 966-0081.

Contact Information

Primary practice address
3465 Pioneer Pkwy Ste 5 West Valley City UT 84120-2079
Phone: (801) 966-0081
Fax: (801) 966-0218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4780952-9934 Utah

Profile Details

NPI number 1366554461
LBN Legal business name Young, Roger F
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366554461 NPPES
Other 47809529900001 BLUE CROSS BLUE SHIELD

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