Organization Active NPI

Long Eyecare & Vision Services, LLC

  • Optometrist
  • Guntersville, AL
National Provider Identifier
1568602019
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S369TA156 Issued in AL
Legal business name
LONG EYECARE & VISION SERVICES, LLC
Practice address
1521 Gunter Avenue
Guntersville, AL 35976
Phone
(256) 582-3146
Fax
(256) 582-4851
NPI assigned
Feb 24, 2009
Last updated
Apr 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Mrs. Courtney Long
Title
Office Manager
Phone
(256) 673-5140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S369TA156 AL Primary

Addresses

Primary practice location

1521 Gunter Avenue
Guntersville, AL 35976

Mailing address

1521 Gunter Avenue
Guntersville, AL 35976
Phone (256) 582-3146

Other identifiers 1

IdentifierTypeStateIssuer
S369TA156OtherALSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

1521 Gunter Ave
Guntersville, AL 35976
Phone (256) 582-3146

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1568602019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 GUNTER AVENUE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-582-3146",
            "fax_number": "256-582-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GUNTER AVENUE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-582-3146",
            "fax_number": "256-582-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG EYECARE & VISION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-673-5140",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S369TA156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "S369TA156",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.