Derek S Long OD Inc
A Medicare group practice based in Hot Springs, AR: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0244388700), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0244388700
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- AR
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20090511000536 | AR | Part B Supplier - Clinic/Group Practice | 1255577532 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Derek S Long OD Inc
dba North Little Rock Primary Eye Care
- Optometrist
- North Little Rock, AR
- NPI 1255577532
Practice locations
- North Little Rock, AR1
- Maumelle, AR1
- Hot Springs, AR1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Derek Scott Long, O.D.
- Optometrist
- Maumelle, AR
- NPI 1699734368
-
Edward Lee McDonnell, O.D.
- Optometrist
- Magnolia, AR
- NPI 1770542508
-
Andrea Walker
- Optometrist
- Maumelle, AR
- NPI 1780067587
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.