Provider Demographics
NPI:1144533910
Name:YOUNG, MEGAN SUZANNE (OD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:SUZANNE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10250 SAWMILL PKWY
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9189
Mailing Address - Country:US
Mailing Address - Phone:614-789-6789
Mailing Address - Fax:614-789-5789
Practice Address - Street 1:10250 SAWMILL PKWY
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9189
Practice Address - Country:US
Practice Address - Phone:614-789-6789
Practice Address - Fax:614-789-5789
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002814152W00000X
OHOH7090152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist