Douglas M. Long, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

39703 Issued in WI

Practice address

N19W23993 Ridgeview Pkwy W Ste 100
Waukesha, WI 53188-1031

Phone

(262) 547-3352

NPI assigned

Jun 26, 2006

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Ophthalmology

Education

Southern Illinois University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Eye Associates SCGroup PAC ID 0941195036, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dlong59566@direct.phci.org

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.

• Medical Eye Associates, S.C.

  • Ophthalmology Physician
  • Waukesha, WI
  • NPI 1023066636
  Medicare reassignment Care Compare group NPD
• Medical Eye Associates, S.C.

  • Eyewear Supplier
  • Oconomowoc, WI
  • NPI 1972935906
  NPD
• Advanced Healthcare SC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1154371847

  Ophthalmology

  NPD (past)

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

• Prohealth Waukesha Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Waukesha, WI
  • NPI 1629056890
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1255368528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N19W23993 RIDGEVIEW PKWY W STE 100",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881031",
            "telephone_number": "262-547-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N19W23993 RIDGEVIEW PKWY W STE 100",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881031",
            "telephone_number": "262-547-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DOUGLAS",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "39703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00449642",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32443200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita F Lofy, FNP, APNP
• Logistics Your Way LLC
• Theresa M Lombardo, APNP
• Patrick Lonergan, SAC-IT
• Christine May Long
• Maureen Longeway, MD
• Brea Sharon Lopez, LPC, CSAC
• Estela Lopez
• Michelle Casuga Lopez, OD
• Cynthia Loppnow, RN

• Ophthalmology Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.