Active NPI
Victoria Jane Long, OD
- Optometrist
- Knoxville, TN
National Provider Identifier
1710501572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3597
- Practice address
- 4300 Chapman Hwy
Knoxville, TN 37920-3058 - Phone
- (865) 577-2020
- NPI assigned
- Jun 7, 2020
- Last updated
- Dec 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3597 | TN | Primary |
Addresses
Primary practice location
4300 Chapman Hwy
Knoxville, TN 37920-3058
Mailing address
4300 Chapman Hwy
Knoxville, TN 37920-3058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
730 W Lamar Alexander Pkwy
Maryville, TN 37801-3900
Phone (865) 970-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3597 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven D. Elliott, O.D. & Associates, Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Volunteer Eye Care, Clinton
- Optometrist
- Clinton, TN
- NPI 1609231752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608336000000",
"number": "1710501572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 CHAPMAN HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379203058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 CHAPMAN HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379203058",
"telephone_number": "865-577-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "VICTORIA",
"middle_name": "JANE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-07",
"last_updated": "2020-12-19",
"certification_date": "2020-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; 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.