Laura Jill Longnecker

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010526 Issued in IL

Practice address

1316 S State St
Jerseyville, IL 62052-3617

Phone

(618) 498-7244

NPI assigned

Nov 16, 2011

Last updated

Nov 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Longnecker Optometry LLC

  • Optometrist
  • Carrollton, IL
  • NPI 1750978987
  Medicare reassignment NPD Authorized official
• Pec Brighton PLLC

  dba Performance Eyecare

  • Optometrist
  • Brighton, IL
  • NPI 1689490070
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1023395225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 83D",
            "city": "HARDIN",
            "state": "IL",
            "postal_code": "620479609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 S STATE ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620523617",
            "telephone_number": "618-498-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGNECKER",
        "first_name": "LAURA",
        "middle_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol M Lesko, N.P.
• Oscar Lin, M.D.
• Hannah Nicole Lindquist
• Megan Diane Lindzy
• Little Wonders Therapy Inc
• Tori Lonsdale
• Kevin A. Lovel, M.S., CCC-SLP/L
• Tracy Rene Lovel, CCC SLPL
• Seth Andrew Luebbert
• Timothy Lyons, MD

• Optometrist in Jerseyville, IL
• Providers in Jerseyville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.