Individual provider Active NPI

Alexander Ga Leung Long, O.D.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1821403528
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD 60631287TX Issued in WA
Practice address
4401 4TH Ave S
Seattle, WA 98134-2311
Phone
(206) 403-2027
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14931TLG CA
Optometrist 152W00000X 8574T TX
Optometrist 152W00000X OD 60631287TX WA Primary

Addresses

Primary practice location

4401 4TH Ave S
Seattle, WA 98134-2311

Mailing address

31704 116TH Ave SE
Auburn, WA 98092-3698
Phone (408) 753-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160720002721 WA Practitioner - Optometry 5092008581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric Vo OD LLCGroup PAC ID 5193052074, 5 clinicians

Practice addresses (Care Compare)

4401 4TH Ave S
Seattle, WA 98134-2311
Phone (206) 403-2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14931TLGCAMDOptometrist
8574TTXMDOptometrist
OD 60631287TXWAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Vo OD LLC Optometrist CurrentSince Jan 4, 2020 Accepting new patients

Locations

4401 4th Ave S
Seattle, WA 98134
Phone (206) 403-2027

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1821403528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31704 116TH AVE SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923698",
            "telephone_number": "408-753-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 4TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981342311",
            "telephone_number": "206-403-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ALEXANDER",
        "middle_name": "GA LEUNG",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14931TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8574T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 60631287TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.