Individual provider Active NPI

Christopher C Long, O.D.

  • Optometrist
  • Steubenville, OH
National Provider Identifier
1245230119
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4763/T1567 Issued in OH
Practice address
2315 Sunset Blvd
Ste B
Steubenville, OH 43952-2496
Phone
(740) 264-7148
Fax
(740) 264-6957
NPI assigned
Jul 21, 2005
Last updated
Sep 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4763/T1567 OH Primary

Addresses

Primary practice location

2315 Sunset Blvd
Ste B
Steubenville, OH 43952-2496

Mailing address

2315 Sunset Blvd
Ste B
Steubenville, OH 43952-2496
Phone (740) 264-7148

Other identifiers 1

IdentifierTypeStateIssuer
2154930MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20100218000008 OH Practitioner - Optometry 4082758826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Steuben Ophthalmologists, Inc.Group PAC ID 3274566393, 2 clinicians

Practice addresses (Care Compare)

2315 Sunset Blvd
Steubenville, OH 43952-2433
Phone (740) 264-7148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4763/T1567OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Steuben Ophthalmologists, Inc. Optometrist CurrentSince Aug 1, 1997 Accepting new patients

Locations

2315 Sunset Blvd
Steubenville, OH 43952
Phone (740) 266-7006

2315 Sunset Blvd
Ste B
Steubenville, OH 43952
Phone (740) 264-7148

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1245230119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 SUNSET BLVD",
            "address_2": "STE B",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522496",
            "telephone_number": "740-264-7148",
            "fax_number": "740-264-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 SUNSET BLVD",
            "address_2": "STE B",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522496",
            "telephone_number": "740-264-7148",
            "fax_number": "740-264-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4763/T1567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2154930",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.