Mary Blair Long, O.D.
Individual provider Active NPI Optometrist · Dickson City, PA
NPI 1669604641 · NPPES record last updated Apr 24, 2013
Key facts
- NPI
- 1669604641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG002240 (PA)
- Practice address
- 900 Commerce Blvd
Vision Center #1884 Next to Walmart
Dickson City, PA 18519-1767 - Phone
- (570) 383-9358
- Fax
- (570) 383-1205
- NPI assigned
- Aug 10, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG002240 | PA | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG002240 | PA | Yes |
Addresses
Primary practice location
900 Commerce Blvd
Vision Center #1884 Next to Walmart
Dickson City, PA 18519-1767
Mailing address
900 Commerce Blvd
Vision Center #1884 Next to Walmart
Dickson City, PA 18519-1767
Phone (570) 383-9358
Other providers in Dickson City, PA
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- R. Sean Lenahan
- Megan Melissa Locker
- Mark Vincent Lombardi
- Bradley Lorah
- Kristin M. Luongo
- Luxottica of America Inc
- LVHN Scranton Orthopedic Specialists
- LVHN Scranton Orthopedic Specialists
All providers in Dickson City, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.