Amy Liu Lynn Longacre, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7518TPL Issued in CA

Practice address

6155 Stoneridge Dr
Suite 100
Pleasanton, CA 94588-3204

Phone

(925) 463-2150

Fax

(925) 463-1186

NPI assigned

Jan 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1750351268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 CRESPI CT",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667561",
            "telephone_number": "925-463-2150",
            "fax_number": "925-463-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 STONERIDGE DR",
            "address_2": "SUITE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883204",
            "telephone_number": "925-463-2150",
            "fax_number": "925-463-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGACRE",
        "first_name": "AMY LIU",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7518TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUPS FED'S ID NUMBER",
            "identifier": "680505388",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0009280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred M Lombardo, LCSW
• Frederick Joseph Lombardo, CADCI
• Cameryn N Long
• Cynthia A Long, MSW, LCSW
• Julie A Long, MD
• Longs Drug Stores California LLC (CVS Pharmacy #09251)
• Claudia Lopez Orozco
• Celeste Lopez
• Viviana Lopez
• Loran Hollander

• Optometrist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.