Provider Type Icon

STACEY YOUNG OD INC NPI 1558807826


NPI Information

NPI: 1558807826
Provider Name: STACEY YOUNG OD INC

Doing Business As: EYECARE SPECIALTIES

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
4139 FULTON DR NW
CANTON, OH
ZIP 44718
Phone: (330) 966-2400
Get Directions

STACEY YOUNG OD INC is an optometrist in Canton, OH. The provider is 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. STACEY YOUNG OD INC NPI is 1558807826. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eyecare Specialties.

The provider's business location address is:

4139 FULTON DR NW
CANTON, OH
ZIP 44718-819
Phone: (330) 966-2400

The provider's authorized official is Stacey Young .
The authorized official title is Owner and has the following contact phone number (330) 966-2400.

The enumeration date for this NPI number is 1/11/2017 and was last updated on 1/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist4648OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19331711MEDICARE UPINOHIO
22373864MEDICAIDOHIO
30791425MEDICARE UPINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.