Nicole C. Long, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002241 Issued in PA

Practice address

320 Central City PLZ
New Kensington, PA 15068-6441

Phone

(724) 335-5721

Fax

(724) 335-5778

NPI assigned

Jul 15, 2009

Last updated

Dec 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in PA

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

Pennsylvania College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bissell Eye Care, LLCGroup PAC ID 5294866687, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bissell Eye Care, LLC

  • Optometrist
  • Bakerstown, PA
  • NPI 1104141035
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Bakerstown, PA
  • NPI 1174438469
  NPD (past)
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Natrona Heights, PA
  • NPI 1215842695
  NPD (past)
• Roger K. Johnson, O.D.

  • Optometrist
  • Natrona Heights, PA
  • NPI 1780012104
  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1851521660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CENTRAL CITY PLZ",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686441",
            "telephone_number": "724-335-5721",
            "fax_number": "724-335-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTRAL CITY PLZ",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686441",
            "telephone_number": "724-335-5721",
            "fax_number": "724-335-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "NICOLE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025773000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh-Ann Elizabeth Liberto, ATC
• Bruce Edward Linderman, D.C.
• Rachel Lynn Linderman, D.P.T.
• Thomas R Litz, DO
• Lloyd K. Richless MD PC
• Chelsea Lynn Loughner, DO
• Kelly Lundstrom, LPN
• Luo Treatment and Recovery Center LLC
• Danielle Lusty, LPC
• Deborah G Lyons Genovesi, MSW

• Optometrist in New Kensington, PA
• Providers in New Kensington, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.