Aubrey L Long, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3529 Issued in TN

Practice address

9031 Valley Crest LN
Germantown, TN 38138-7829

Phone

(901) 757-2020

Fax

(901) 234-0133

NPI assigned

Jul 7, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Southern College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fayette Eye Associates PLLCGroup PAC ID 2567886062, 4 clinicians

East Memphis Eye Associates PLLCGroup PAC ID 6103240288, 4 clinicians

Eyecare East, PLLCGroup PAC ID 7517195779, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• East Memphis Eye Associates PLLC

  • Optometrist
  • Germantown, TN
  • NPI 1386092682
  Medicare reassignment Care Compare group NPD
• Eyecare East, PLLC

  • Optometrist
  • Germantown, TN
  • NPI 1700131752
  Medicare reassignment Care Compare group NPD
• Fayette Eye Associates PLLC

  • Clinic/Center
  • Eads, TN
  • NPI 1750942363
  Medicare reassignment Care Compare group NPD
• Square Eyecare, PLLC.

  • Optometrist
  • Collierville, TN
  • NPI 1770163305
  Medicare reassignment NPD

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1073175329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 VALLEY CREST LN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387829",
            "telephone_number": "901-757-2020",
            "fax_number": "901-234-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 VALLEY CREST LN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387829",
            "telephone_number": "901-757-2020",
            "fax_number": "901-234-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "AUBREY",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "3529",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen A Liu, MD
• Carla Livesay
• Christopher H. Livesay, M.D.
• Brittany N Logan, ATC
• Cathy Logue
• Celeste S Long, M.D.
• Sara-Grace Katherine Long
• Timothy E Long, MD
• Sarah Gano Longo, NP
• Korey Lopez

• Optometrist in Germantown, TN
• Providers in Germantown, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; 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.