Individual provider Active NPI

Angela Long, O.D.

  • Optometrist
  • Bedford, IN
National Provider Identifier
1801859657
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002841B Issued in IN
Practice address
2617 W 16TH Street
Bedford, IN 47421
Phone
(812) 279-3701
Fax
(812) 279-3701
NPI assigned
Apr 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002841B IN Primary

Addresses

Primary practice location

2617 W 16TH Street
Bedford, IN 47421

Mailing address

2617 W 16TH Street
Bedford, IN 47421
Phone (812) 279-3701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20111020000375 IN Practitioner - Optometry 4082724133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Family Eye Care P.C.Group PAC ID 7618087768, 3 clinicians

Practice addresses (Care Compare)

660 S College Ave
Bloomington, IN 47403-2527
Phone (812) 332-5090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002841BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Family Eye Care P.C. Optometrist CurrentSince Oct 10, 1997 Accepting new patients
The Union Optical Center Past Accepting new patients

Locations

660 S College Ave
Bloomington, IN 47403
Phone (812) 332-5090

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801859657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 W 16TH STREET",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "47421",
            "telephone_number": "812-279-3701",
            "fax_number": "812-279-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 W 16TH STREET",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "47421",
            "telephone_number": "812-279-3701",
            "fax_number": "812-279-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ANGELA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002841B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.