Provider Demographics
NPI:1962571133
Name:YOUNG, LINDSEY ALIZABETH (OD)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:ALIZABETH
Last Name:YOUNG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LINDSEY
Other - Middle Name:ALIZABETH
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:3905 WINDING RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BLANCHARD
Mailing Address - State:OK
Mailing Address - Zip Code:73010-1169
Mailing Address - Country:US
Mailing Address - Phone:405-694-9342
Mailing Address - Fax:
Practice Address - Street 1:921 NE 13TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5007
Practice Address - Country:US
Practice Address - Phone:405-270-0501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2446152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist