Jeffrey Michael Long, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2341 Issued in OK

Practice address

7374 S. Olympia Ave.
Tulsa, OK 74132-1849

Phone

(918) 794-2020

Fax

(918) 794-2720

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Dr. Jeff M. Long Enterprises, PLLCGroup PAC ID 3577727379, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Jeff M. Long Enterprises, PLLC

  • Pediatric Optometrist
  • Tulsa, OK
  • NPI 1487912200

  Corneal and Contact Management

  Medicare reassignment Care Compare group NPD Authorized official
• Robert H. Zoellner & Associates P.C.

  • Optometrist
  • Tulsa, OK
  • NPI 1336329804
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1770602302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7374 S. OLYMPIA AVE.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321849",
            "telephone_number": "918-794-2020",
            "fax_number": "918-794-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7374 S. OLYMPIA AVE.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321849",
            "telephone_number": "918-794-2020",
            "fax_number": "918-794-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2341",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "2341",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OK",
            "license": "2341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200427010A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100762220A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bob Ervin Long, MA
• Carolyn Marie Long, DO
• Elizabeth Charlene Long, CDT
• Jacqueline E Long, LCSW
• Jason Long, PT
• Jenna R Long
• Jillyan Avery Long, PTA
• Kristen Nicole Long, APRN-CNP
• Kristin Casey Long
• Piper Long, DO

• Optometrist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.

Verify at the official NPI Registry.