Active NPI
Leslie A Long, OD
- Optometrist
- Williamsville, NY
National Provider Identifier
1336140151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 006176
- Practice address
- 1 Hopkins Rd
Williamsville, NY 14221-4641 - Phone
- (716) 631-8888
- Fax
- (716) 631-3803
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 006176 | NY | Primary |
Addresses
Primary practice location
1 Hopkins Rd
Williamsville, NY 14221-4641
Mailing address
1 Hopkins Rd
Williamsville, NY 14221-4641
Phone (716) 631-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01993815 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006176 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care and Vision Assoc. LLP | Past | Accepting new patients | |
| Williamsville Optical LLC | Past | Accepting new patients | |
| Eye Health Associates of Western New York PC | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- Williamsville, NY
- NPI 1013180470
-
dba Anthone Eye Center
- Ophthalmology Physician
- Williamsville, NY
- NPI 1831181528
-
- Optician
- Williamsville, NY
- NPI 1942338025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1336140151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOPKINS RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214641",
"telephone_number": "716-631-8888",
"fax_number": "716-631-3803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOPKINS RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214641",
"telephone_number": "716-631-8888",
"fax_number": "716-631-3803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "LESLIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "006176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01993815",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.