Amanda D. Long, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003462A Issued in IN

Practice address

160 Lakeview Dr
Noblesville, IN 46060-1307

Phone

(317) 773-4482

Fax

(317) 770-3796

NPI assigned

Jul 6, 2007

Last updated

Jun 29, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1053519520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LAKEVIEW DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601307",
            "telephone_number": "317-773-4482",
            "fax_number": "317-770-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LAKEVIEW DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601307",
            "telephone_number": "317-773-4482",
            "fax_number": "317-770-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "AMANDA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003462A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lo Otolaryngology and Facial Pastics
• Cecile Crane Locke, M.D.
• Robert Allen Locke, M.D.
• Katelyn Lockhart
• Jennifer Ann Logan Maiden, M.ED CCC-SLP
• Dominic Long
• Mitzi Lopez
• Chris A Lowery, D.O.
• LTC Pharmacy Management Services, LLC (MedScript Long Term Care Pharmacy)
• Heather Lynn Lutz, NP

• Optometrist in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.