Organization Active NPI

Longs Opticians Inc.

  • Optometrist
  • Marietta, GA
National Provider Identifier
1720208515
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1218 Issued in GA
Legal business name
LONGS OPTICIANS INC.
Doing business as
Longs Eye Care
Practice address
1101 Whitlock Ave SW
Marietta, GA 30064-1923
Phone
(770) 422-8002
Fax
(770) 422-4618
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alfred McCoy Long Jr., O.D.
Title
Owner
Phone
(770) 422-8002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1218 GA Primary

Addresses

Primary practice location

1101 Whitlock Ave SW
Marietta, GA 30064-1923

Mailing address

1101 Whitlock Ave SW
Marietta, GA 30064-1923
Phone (770) 422-8002

Other names 1

  • Longs Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

2645 Dallas Hwy SW
Ste 100
Marietta, GA 30064
Phone (770) 422-8002

1100 Old Dallas Rd SW
Marietta, GA 30064
Phone (770) 422-8002

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720208515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WHITLOCK AVE SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641923",
            "telephone_number": "770-422-8002",
            "fax_number": "770-422-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WHITLOCK AVE SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641923",
            "telephone_number": "770-422-8002",
            "fax_number": "770-422-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS OPTICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "MCCOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-422-8002",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longs Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.