Individual provider Active NPI

Clinton Arvin Long, MD

  • Ophthalmology Physician
  • Sherman, TX
National Provider Identifier
1083773428
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K5338 Issued in TX
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

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7057235OtherTXAETNA
8G9440OtherTXBCBS OF TEXAS
142713002MedicaidTX
180045779OtherTXRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120501000760 TX Practitioner - Ophthalmology 5496837395 Reassigns benefits to 1 organization

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
Texoma Eye Associates LLPGroup PAC ID 6507948403, 2 clinicians

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 Hospital, Sherman, TX, CCN 670076

Merit-based Incentive Payment System (MIPS)

Final score
93.35 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K5338TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Eye Associates LLP Ophthalmology CurrentSince Jul 1, 2003 Accepting new patients
Sherman Grayson Hospital LLC Current Accepting new patients
Texoma Eye Associates LLP Ophthalmology CurrentSince Jul 1, 2003 Accepting new patients

Locations

2203 N FM 1417
Sherman, TX 75092
Phone (214) 666-4663

Interoperability endpoints

  • Direct secure messaging: clong@longvisioncenter.intellechartdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.