Zachary Long, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002745 Issued in VA

Practice address

3211 Peoples St Ste 55
Johnson City, TN 37604-4109

Phone

(423) 328-5189

Fax

(423) 952-4953

NPI assigned

May 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Indiana University - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highlands Optometry PLLCGroup PAC ID 5890107049, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Highlands Optometry, PLLC

  • Optometrist
  • Bristol, VA
  • NPI 1629670690
  Medicare reassignment Care Compare group NPD
• National Vision, Inc.

  • Optician
  • Johnson City, TN
  • NPI 1992161293
  NPD (past)

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1043876295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 PEOPLES ST STE 55",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044109",
            "telephone_number": "423-328-5189",
            "fax_number": "423-952-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 PEOPLES ST STE 55",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044109",
            "telephone_number": "423-328-5189",
            "fax_number": "423-952-4953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1936 Brookside Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604654",
            "country_code": "US",
            "telephone_number": "423-343-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002745",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Raymond Lockett, DC
• Eric Lockner
• Rebecca Lockridge, LPC-MHSP-TEMP
• Andrea C Long, PHARMD
• Douglas Long, R.P.H
• Ethel L Longmire O'Neal, M.D.
• Chasity Lea Looney
• Patricia Looney, MS CCC-SLP
• Tara Leigh Looney, MSN, FNP-BC
• Kevin E Loos, MSN

• Optometrist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.