Individual provider Active NPI

Sharon Long, OD

  • Optometrist
  • Carson City, NV
National Provider Identifier
1861059537
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1018 Issued in NV
Practice address
3033 N Carson St
Carson City, NV 89706-0153
Phone
(775) 887-8866
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1018 NV Primary

Addresses

Primary practice location

3033 N Carson St
Carson City, NV 89706-0153

Mailing address

3033 N Carson St
Carson City, NV 89706-0153
Phone (775) 887-8866

Other practice location 1

4760 Galleria Pkwy
Sparks, NV 89436-9619
Phone (775) 356-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20190703000032 NV Practitioner - Optometry 6800120346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lara McKnight, OD and Assoc LTDGroup PAC ID 1658265012, 2 clinicians

Practice addresses (Care Compare)

4530 S Carson St
Suite 12
Carson City, NV 89701-6914
Phone (775) 267-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1018NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Sierra Eyecare, Inc. Optometrist CurrentSince Sep 5, 2020 Accepting new patients
Lara McKnight, OD & Assoc LTD Optometrist CurrentSince Jun 22, 2022 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

4530 S Carson St
Ste 12
Carson City, NV 89701
Phone (775) 267-2000

3033 N Carson St
Carson City, NV 89706
Phone (775) 884-2020

Organizations & group practices 7

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1861059537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060153",
            "telephone_number": "775-887-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 N CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060153",
            "telephone_number": "775-887-8866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4760 Galleria Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894369619",
            "country_code": "US",
            "telephone_number": "775-356-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "SHARON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.