Provider Demographics
NPI:1154706521
Name:YOUNG, STUART BOYD (OD)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:BOYD
Last Name:YOUNG
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-1127
Mailing Address - Country:US
Mailing Address - Phone:502-647-3937
Mailing Address - Fax:
Practice Address - Street 1:403 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-1127
Practice Address - Country:US
Practice Address - Phone:502-647-3937
Practice Address - Fax:502-633-7326
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1998DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist