Individual provider Active NPI

Sarah Rebekah Long

  • Optician
  • Middlesboro, KY
National Provider Identifier
1528825635
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
287661 Issued in KY
Practice address
1255 N 12TH St Ste 1
Middlesboro, KY 40965-1838
Phone
(606) 248-5389
Fax
(606) 248-5289
NPI assigned
Mar 5, 2024
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 287661 KY Primary

Addresses

Primary practice location

1255 N 12TH St Ste 1
Middlesboro, KY 40965-1838

Mailing address

1255 N 12TH St Ste 1
Middlesboro, KY 40965-1838
Phone (606) 248-5389

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
287661KYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1528825635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 N 12TH ST STE 1",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651838",
            "telephone_number": "606-248-5389",
            "fax_number": "606-248-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 N 12TH ST STE 1",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651838",
            "telephone_number": "606-248-5389",
            "fax_number": "606-248-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "SARAH",
        "middle_name": "REBEKAH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "287661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.