804 BROAD RIPPLE AVE
INDIANAPOLIS, IN 46220-1961 US PECOS Enrolled
Overview
Connor David Young is a Optometrist in the INDIANAPOLIS area and has over 5 years of experience. Connor David Young primary office location is at 804 BROAD RIPPLE AVE and new patients are welcome to contact this healthcare provider for an appointment. He attended Indiana University - School Of Optometry and graduated 2021 The NPI number is 1003498296 and the information was updated approximately 5 years ago.
Connor David Young is affiliated with one medical group in the INDIANAPOLIS area, MYEYEDR OPTOMETRY OF INDIANA LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 18004269A | IN |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Optometrist - Taxonomy Code 152W00000X | IN | Y |
| Student - Taxonomy Code 390200000X | -- | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20210622001171 |
| PECOS Individual PAC ID: | 5294136719 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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