Young, Tyler Ross
Young, Tyler Ross is an individual health care provider with primary practice located at 12129 Shawnee Mission Pkwy , Shawnee KS 66216. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Young, Tyler Ross can be contacted via phone (913) 808-2020.Contact Information
Primary practice address
12129 Shawnee Mission Pkwy
Shawnee KS 66216
Phone: (913) 808-2020
Fax: (913) 298-2634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2010020777 | Missouri |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1886 | Kansas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1886 | Kansas |
Profile Details
| NPI number | 1548572811 |
|---|---|
| LBN Legal business name | Young, Tyler Ross |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2010 |
| Last updated | Jun 29th, 2018 - about 8 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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