Stephanie C. Long, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2014028346 Issued in MO

Practice address

2185 S Mason Rd
Saint Louis, MO 63131-1640

Phone

(314) 821-5666

NPI assigned

Aug 12, 2014

Last updated

Aug 17, 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

Medicare fee-for-service enrollment

Enrolled in MO

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

University of Missouri St Louis - School of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarkson Optometry IncGroup PAC ID 0840411799, 82 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanielong@direct.eyecare-partners.com

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.

• Clarkson Optometry, Inc

  • Optometrist
  • Ellisville, MO
  • NPI 1497155345
  Medicare reassignment Care Compare group NPD
• Nu-Crown, LLC

  dba Crown Optical

  • Optometrist
  • Alton, IL
  • NPI 1295737294

  MO

  Medicare reassignment NPD
• Nucrown,Inc.

  dba Crown Optical

  • Optometrist
  • Saint Charles, MO
  • NPI 1114337102
  NPD
• Clarkson Optometry Inc

  dba Clarkson Eyecare

  • Optometrist
  • Elk River, MN
  • NPI 1952992976
  NPD
• Clarkson Optometry Inc

  dba Clarkson Eyecare

  • Optometrist
  • Arnold, MO
  • NPI 1053364729
  NPD (past)
• Clarkson Optometry Inc

  dba Clarkson Eyecare

  • Optometrist
  • Brentwood, MO
  • NPI 1730131673
  NPD (past)

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1639588965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207158",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207158",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 S MASON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311640",
            "telephone_number": "314-821-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10465 Saint Charles Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Ann",
            "state": "MO",
            "postal_code": "630741829",
            "country_code": "US",
            "telephone_number": "314-423-2010",
            "fax_number": "314-426-1957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8658 Big Bend Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster Groves",
            "state": "MO",
            "postal_code": "631193839",
            "country_code": "US",
            "telephone_number": "314-968-4243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9540 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631191313",
            "country_code": "US",
            "telephone_number": "314-962-3830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8562 Eager Rd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "MO",
            "postal_code": "631441435",
            "country_code": "US",
            "telephone_number": "314-785-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 Gravois Rd",
            "address_purpose": "LOCATION",
            "city": "Affton",
            "state": "MO",
            "postal_code": "631234025",
            "country_code": "US",
            "telephone_number": "314-282-9050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11433 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631417108",
            "country_code": "US",
            "telephone_number": "314-432-1134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "917 Olive St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631011418",
            "country_code": "US",
            "telephone_number": "314-621-5303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6415 Chippewa St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631092104",
            "country_code": "US",
            "telephone_number": "314-457-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12681 Dorsett Rd",
            "address_purpose": "LOCATION",
            "city": "Maryland Heights",
            "state": "MO",
            "postal_code": "630432100",
            "country_code": "US",
            "telephone_number": "314-786-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "STEPHANIE",
        "middle_name": "C.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2014028346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Nicole Long, MSW,LCSW
• Nancy Marie Long, MA, LPC
• Nancy Schaefer Long, M.D.
• Nicole Long
• Robert Nathan Long, M.D.
• Susan S Long
• Valerie Ann Long, PTA
• Alyssa Anne Longaker, MSW
• Nicholas David Longfellow, ACNP
• Gregory D Longmore, MD

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.