Active NPI
Clinton Arvin Long, MD
- Ophthalmology Physician
- Sherman, TX
National Provider Identifier
1083773428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- K5338
- Practice address
- 2203 N FM 1417
Sherman, TX 75092-2351 - Phone
- (903) 892-2020
- Fax
- (903) 892-0633
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | K5338 | TX | Primary |
Addresses
Primary practice location
2203 N FM 1417
Sherman, TX 75092-2351
Mailing address
2203 N FM 1417
Sherman, TX 75092-2351
Phone (903) 892-2020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7057235 | Other | TX | AETNA |
| 8G9440 | Other | TX | BCBS OF TEXAS |
| 142713002 | Medicaid | TX | |
| 180045779 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Texas Medical School at Houston, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2203 N Heritage Pkwy
Sherman, TX 75092-2351
Phone (903) 892-2020
Hospital & facility affiliations
- Baylor Scott and White Surgical Hospital at Sherma
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.35 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 77.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 360 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5338 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texoma Eye Associates LLP | Ophthalmology | Current | Accepting new patients |
| Sherman Grayson Hospital LLC | Current | Accepting new patients | |
| Texoma Eye Associates LLP | Ophthalmology | Current | Accepting new patients |
Locations
2203 N FM 1417
Sherman, TX 75092
Phone (214) 666-4663
Interoperability endpoints
- clong@longvisioncenter.intellechartdirect.net
- clintonlong@wnjrmc.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Sherman, TX
- NPI 1063635902
-
- Ophthalmology Physician
- Prosper, TX
- NPI 1518467604
-
- General Acute Care Hospital
- Sherman, TX
- NPI 1013957836
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sherman, TX
- NPI 1235510090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1083773428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 N FM 1417",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750922351",
"telephone_number": "903-892-2020",
"fax_number": "903-892-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 N FM 1417",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750922351",
"telephone_number": "903-892-2020",
"fax_number": "903-892-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "CLINTON",
"middle_name": "ARVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "K5338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7057235",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8G9440",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142713002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180045779",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.