Thomas Patrick Longwell, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

004044-1 Issued in NY

Practice address

1644 Monroe Ave
Rochester, NY 14618-1417

Phone

(607) 731-4941

NPI assigned

Jul 25, 2007

Last updated

Sep 14, 2010By the provider in NPPES

Sex

Male

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 1

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1780874859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181417",
            "telephone_number": "607-731-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181417",
            "telephone_number": "607-731-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWELL",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "004044-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02913817",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell J Long, DC, MS
• Rachel Long, D. O.
• Morgan Longabaugh, NP
• Perrune-Elisabeth Longange-Eketshi, M.D.
• Patricia Longdue, RN
• Daniele Loomis Rostan, MS OT
• Anne T. Loomis, LCSW
• Julie Ann Loomis
• Nicole Ann Loomis, COTA/L
• Richard J Looney, MD

• Optician in Rochester, NY
• Providers in Rochester, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.