Individual provider Active NPI

Kristine Elizabeth Longshore, M.D.

  • Ophthalmology Physician
  • Doylestown, PA
National Provider Identifier
1952452104
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD063813L Issued in PA
Practice address
410 Farm LN
Carriage House
Doylestown, PA 18901-4740
Phone
(215) 348-4554
Fax
(215) 348-4968
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD063813L PA Primary

Addresses

Primary practice location

410 Farm LN
Carriage House
Doylestown, PA 18901-4740

Mailing address

410 Farm LN
Carriage House
Doylestown, PA 18901-4740
Phone (215) 348-4554

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526000851 PA Practitioner - Ophthalmology 6305827346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

410 Farm LN
Doylestown, PA 18901-4740
Phone (215) 348-4554

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD063813LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Bucks Ophthalmology, LLC Ophthalmology CurrentSince Apr 16, 2004 Accepting new patients
Doylestown Eye Associates LLC Ophthalmology Past Accepting new patients

Locations

410 Farm Ln
Doylestown, PA 18901
Phone (215) 348-4554

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952452104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 FARM LN",
            "address_2": "CARRIAGE HOUSE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014740",
            "telephone_number": "215-348-4554",
            "fax_number": "215-348-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 FARM LN",
            "address_2": "CARRIAGE HOUSE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014740",
            "telephone_number": "215-348-4554",
            "fax_number": "215-348-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGSHORE",
        "first_name": "KRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD063813L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.