Mary Blair Long, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002240 Issued in 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

Last updated

Apr 24, 2013By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1669604641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COMMERCE BLVD",
            "address_2": "VISION CENTER #1884 NEXT TO WALMART",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191767",
            "telephone_number": "570-383-9358",
            "fax_number": "570-383-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COMMERCE BLVD",
            "address_2": "VISION CENTER #1884 NEXT TO WALMART",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191767",
            "telephone_number": "570-383-9358",
            "fax_number": "570-383-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARY BLAIR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lehigh Valley Physician Group
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• R. Sean Lenahan, MD
• Megan Melissa Locker, MS, OTR/L
• Mark Vincent Lombardi, PT DPT ATC
• Bradley Lorah
• Kristin M. Luongo, MS, OTR/L
• Luxottica of America Inc (Target Optical C4829)
• LVHN Scranton Orthopedic Specialists
• LVHN Scranton Orthopedic Specialists

• Optometrist in Dickson City, PA
• Providers in Dickson City, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.