Young Image Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

16226933 Issued in MO

Legal business name

YOUNG IMAGE OPTICAL

Practice address

2121 N Baltimore St
Suite #2
Kirksville, MO 63501-5110

Phone

(660) 665-2010

NPI assigned

Aug 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Harry B. Young Jr., D.O.

Title

Owner

Phone

(660) 665-2010

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336255181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1095",
            "address_2": "STUITE #2",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011095",
            "telephone_number": "660-665-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N BALTIMORE ST",
            "address_2": "SUITE #2",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015110",
            "telephone_number": "660-665-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG IMAGE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-665-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": "16226933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Kay Woods, LMFT
• Woodward Audiology, LLC (Hearing Care Partners)
• Michelle Woodward, MS,CCC-A
• Dominick Jay Wright
• John Xie, MD
• Kinzey Young
• Mason R Zaccardi
• Zella Rudd (Terry's Medical Specialties)
• Charles Michael Zeman, D.O.
• Tina Marie Zeman, MA, CCC-SLP

• Eyewear Supplier in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Eyewear Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.