Long DO, O.D.
Individual provider Active NPI Optometrist · Waco, TX
NPI 1154763340 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1154763340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 8143TG (TX)
- Practice address
- 5201 Bosque Blvd Ste 220
Waco, TX 76710-4676 - Phone
- (254) 741-1022
- Fax
- (817) 473-0950
- NPI assigned
- Jul 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 20 20 Icare, PLLC
20/20 Icare Longview PLLC
2020 Icare and Iwear Irving PLLC
Practice addresses (Care Compare)
3007 E Central Texas Expy
Suite 101
Killeen, TX 76543-7375
Phone (254) 200-0711
307 W Loop
281 Suite 1a
Longview, TX 75605-4442
Phone (903) 663-4047
3510 S State Hwy 161
Suite 110
Grand Prairie, TX 75052-7953
Phone (972) 264-7200
4824 S Broadway Ave
Tyler, TX 75703-1312
Phone (903) 581-2020
5201 Bosque Blvd
Suite 220
Waco, TX 76710-4676
Phone (254) 741-1022
7750 N Macarthur Blvd
Suite 180
Irving, TX 75063-7524
Phone (972) 401-0008
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140129001153 | TX | Practitioner - Optometry | 9537398268 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8143TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2020 Icare Longview PLLC | Optometrist | Current |
Accepting new patients |
| 20/20 Icare Tyler PLLC | Optometrist | Current |
Accepting new patients |
| Waco Vision Center, PLLC | Optometrist | Current |
Accepting new patients |
| 2020 Icare and Iwear Irving PLLC | Optometrist | Current |
Accepting new patients |
| Eyecare 20/20, P.C. | Optometrist | Current |
Accepting new patients |
Locations
7750 N MacArthur Blvd
Ste 180
Irving, TX 75063
Phone (972) 401-0008
307 W Loop 281
Ste 1A
Longview, TX 75605
Phone (903) 663-4047
307 W Loop 281
#2B
Longview, TX 75605
Phone (903) 663-1550
4824 S Broadway Ave
Tyler, TX 75703
Phone (903) 581-2020
5201 Bosque Blvd
Ste 220
Waco, TX 76710
Phone (254) 741-1022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist |
152WC0802X | 8143TG | TX | |
| Vision Therapy Optometrist |
152WV0400X | 8143TG | TX | |
| Optometrist |
152W00000X | 8143TG | TX | Yes |
Addresses
Primary practice location
5201 Bosque Blvd Ste 220
Waco, TX 76710-4676
Mailing address
1001 Rhone LN
Southlake, TX 76092-1449
Phone (817) 262-2145
Other practice location 1
7750 N MacArthur Blvd
Irving, TX 75063-7514
Phone (972) 401-0008
Other practice location 2
3510 S Highway 161 Ste 110
Grand Prairie, TX 75052-7953
Phone (972) 264-7200
Other practice location 3
4824 S Broadway Ave
Tyler, TX 75703-1312
Phone (903) 581-2020
Other practice location 4
307 W Loop 281 Ste 2B
Longview, TX 75605-4442
Phone (903) 663-4047
Other practice location 5
3007 E Central Texas Expy Ste 101
Killeen, TX 76543-7375
Phone (254) 200-0711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8143TG | Other | TX | TEXAS OPTOMETRY BOARD |
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.