Brandi La'Shelle Long, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2546 Issued in TN

Practice address

547 W Church St
Wal-Mart Vision Center
Lexington, TN 38351-1703

Phone

(731) 450-0120

Fax

(731) 968-5595

NPI assigned

Apr 11, 2007

Last updated

Jun 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Optometry

Education

Southern College of Optometry, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hermitage Eye Care PLLC

  • Optometrist
  • Hermitage, TN
  • NPI 1275943052
  Medicare reassignment NPD
• Tennessee Vision Partners PLLC

  dba Lifetime EyeCare

  • Optometrist
  • Jackson, TN
  • NPI 1902317381
  Medicare reassignment NPD
• Carol P. Lagrange, O.D., P.C.

  dba Lifetime EyeCare

  • Optometrist
  • Jackson, TN
  • NPI 1972520807
  NPD
• Hermitage Eye Care PLLC

  dba Brentwood, Conn Vision

  • Optometrist
  • Brentwood, TN
  • NPI 1689479909
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1265656524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BASCOM RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383058800",
            "telephone_number": "731-267-0040",
            "fax_number": "731-427-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 W CHURCH ST",
            "address_2": "WAL-MART VISION CENTER",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511703",
            "telephone_number": "731-450-0120",
            "fax_number": "731-968-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRANDI",
        "middle_name": "LA'SHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexington SNF Healthcare LLC (Lexington Post Acute)
• Lincare Inc (United Medical)
• Courtney Lindsey
• Crystal Livingston
• Natasha Mae Loftin
• Carol R Luckey, NP
• Jeffrey Lundy, M.D.
• Jacob McKinley Maness
• Melinda S Maranto, NP-C
• Nathan Martz

• Optometrist in Lexington, TN
• Providers in Lexington, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.