Lori Ann Long, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2800 Issued in FL

Practice address

1800 S McCall Rd
Englewood, FL 34223-4958

Phone

(941) 474-2020

NPI assigned

Mar 11, 2007

Last updated

Feb 24, 2022By 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

Other identifiers 2

Other names 1

• Dr. Lori Ann Bradley Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Pennsylvania College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Center of North Florida, P.a.Group PAC ID 0042247306, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.88 of 100Reported as individual

Quality

96.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: llong@especnf.intellechartdirect.net
• Direct secure messaging: llong@useye.intellechartdirect.net

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.

• Eye Center of North Florida, P.a.

  • Optometrist
  • Panama City Beach, FL
  • NPI 1730284118
  Medicare reassignment Care Compare group NPD
• Center for Sight, PL

  • Ophthalmology Physician
  • Venice, FL
  • NPI 1386718468

  Optometrist

  NPD
• Eye Center of North Florida, P.a.

  • Optometrist
  • Chipley, FL
  • NPI 1194820571
  NPD
• Eye Center of North Florida, P.a.

  dba The Laser & Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Panama City, FL
  • NPI 1447279369
  NPD
• Eye Center of North Florida, P.a.

  • Optometrist
  • Panama City, FL
  • NPI 1740213529
  NPD
• Destin Ophthalmology PA

  • Ophthalmology Physician
  • Santa Rosa Beach, FL
  • NPI 1144254939
  NPD (past)
• SK Retina LLC

  dba SK Retina

  • Retina Specialist (Ophthalmology) Physician
  • Sarasota, FL
  • NPI 1194170779
  NPD (past)

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1477685931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2020",
            "fax_number": "941-484-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S MCCALL RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234958",
            "telephone_number": "941-474-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FLORIDA",
            "identifier": "20540",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "20540W",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llong@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1800 S McCall Rd",
            "city": "Englewood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342234958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "BRADLEY",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Noelle Claire Lipkin, ARNP BC
• Lew A Little, MD
• Lynette M Llerena, DO
• Stephen Logan, M.D.
• Dianer Julieth Londono
• Maria L Lopez, BCABA
• Patricia Carias Lopez
• Lori J Wesson Arnp, Inc
• Lori J. Wesson, Arnp, Inc.
• Kenneth W Lounders, DMD

• Optometrist in Englewood, FL
• Providers in Englewood, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.