Olivia Anne Longo VIII

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO6546 Issued in FL

Practice address

1661 SE US Highway 19
Crystal River, FL 34429-4830

Phone

(352) 563-1666

Fax

(352) 229-4443

NPI assigned

Jul 25, 2018

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

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1770060477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 35TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337143717",
            "telephone_number": "727-914-8615",
            "fax_number": "727-914-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 SE US HIGHWAY 19",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294830",
            "telephone_number": "352-563-1666",
            "fax_number": "352-229-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "OLIVIA",
        "middle_name": "ANNE",
        "name_suffix": "VIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO6546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lindner, DDS, MFA, PHD
• Larry Guillermo Liriano Espinal, M.D
• Gustine Ong Liu-Young, M.D.
• Jan Michelle Lomanta Roflo, DNP
• Lomba MD, PA
• Lri Medical
• Ann Lundy, APRN
• Mary-Ellen Macdonald, FNP
• Manoj B Shukla MD PA
• Olga Maric, MD

• All providers in Crystal River, FL
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.