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MICHAEL O YOUNG OD PC
NPI 1487724258
Optometrist in Fort Wayne, IN

Active since November 09, 2006
6424 W JEFFERSON BLVD, SUITE A, FORT WAYNE, IN 46804(260) 969-1400(260) 969-0322 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael O Young Od Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL O YOUNG OD PC (NPI 1487724258) is a healthcare organization registered as an optometrist in Fort Wayne, Indiana and active in the NPI registry since November 2006. The organization lists Michael Owen Young, President, as its authorized official.

NPPES Registry Identity

NPI1487724258
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMICHAEL O YOUNG OD PC
Location Address6424 W JEFFERSON BLVD, SUITE AFort Wayne, IN 46804-6204
Mailing Address6424 W Jefferson Blvd, Suite AFort Wayne, IN 46804-6204 · (260) 969-1400 · Fax (260) 969-0322
Phone(260) 969-1400
Fax(260) 969-0322
Organization SubpartNo
Authorized OfficialMichael Owen YoungPresident · (260) 969-1400
Enumeration DateNovember 9, 2006
Last NPPES UpdateNovember 28, 2012
✔ NPI 1487724258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 18002134A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
6424 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Identifiers 4

Medicare PIN222910IN
Medicaid100080510AIN
OtherIN2134Eyemed
Other18808Spectera

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRISTATE OPTICAL, INC.
Eyewear Supplier
6424 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-2020
MICHAEL OWEN YOUNG OD
Optometrist
6424 W JEFFERSON BLVD, SUITE A
FORT WAYNE, IN 46804
Allen County (260) 436-7530
NICOLAS A SOULIER P C
Optometrist
6424 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 969-1400
DR. LAUREN CUNNINGHAM OD
Optometrist
6424 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael O Young Od PC's NPI number?

The NPI number for Michael O Young Od PC is 1487724258. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Michael O Young Od PC located?

Michael O Young Od PC is located at 6424 W Jefferson Blvd Suite A, Fort Wayne, IN 46804. The listed phone number is (260) 969-1400.

What is Michael O Young Od PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Michael O Young Od PC was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.