KRYSTAL L LONG, OD, PC


Address: 900 Nicollet Mall, Minneapolis, MN 55403-2530
Phone: 6123387551

KRYSTAL L LONG, OD, PC (NPI# 1437590221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437590221
Entity Type Organization
Organization Name KRYSTAL L LONG, OD, PC
Other Organization Name DR. LONG & ASSOCIATES
Practice Address 900 Nicollet Mall
Minneapolis
MN 55403-2530
Practice Telephone 6123387551
Practice Fax Number 6123387403
Mailing Telephone 6123387551
Mailing Fax Number 6123387403
Enumeration Date 2013-07-10
Last Update Date 2014-08-12
Authorized Official Name DR. KRYSTAL LONG (OPTOMETRIST)
Authorized Official Telephone 2182346339
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 3297 MN Eye and Vision Services Providers

Other Provider/Organization Names

Other Name Type Code
Dr. Long & Associates Doing Business As Name - Organization

Office Location

Street Address 900 NICOLLET MALL
City MINNEAPOLIS
State MN
Zip Code 55403-2530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043204647 Rhonda Marie Wolfe Nurse Practitioner 900 Nicollet Mall, Minneapolis, MN 55403-2530 2005-09-09
1306447339 Alexandra Elizabeth Krueger Nurse Practitioner 900 Nicollet Mall, Minneapolis, MN 55403-2530 2020-11-05
1124629464 Kelly Roberto Nurse Practitioner 900 Nicollet Mall, Minneapolis, MN 55403-2530 2020-11-03
1588275648 Katelyn Gammell Nurse Practitioner 900 Nicollet Mall, Minneapolis, MN 55403-2530 2020-08-12
1205396835 Shikha Mehta Optometrist 900 Nicollet Mall, Minneapolis, MN 55403-2530 2019-03-20
1205228921 Lindsay Hur Pharmacist 900 Nicollet Mall, Minneapolis, MN 55403-2530 2015-03-04
1124419114 Christy Berryhill Nurse Practitioner 900 Nicollet Mall, Minneapolis, MN 55403-2530 2015-02-11
1548665896 Kelly Jean Nadeau Kruger Nurse Practitioner 900 Nicollet Mall, Minneapolis, MN 55403-2530 2014-10-29
1881036614 Tyler John Schultz Pharmacist 900 Nicollet Mall, Minneapolis, MN 55403-2530 2013-07-22
1598109274 John Traxinger Pharmacist 900 Nicollet Mall, T-1375, Minneapolis, MN 55403-2530 2013-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508312174 Afya Translation Corp Interpreter 1 E 19th Street, Suite 2, Minneapolis, MN 55403 2016-09-01
1891146692 Alicia Kornacker Doula 1937 Aldrich Avenue South, Apt 12, Minneapolis, MN 55403 2016-06-23
1437506417 Zahra Roble Nurse Practitioner 1801 Nicolllet Ave S, Minneapolis, MN 55403 2016-05-19
1063871259 Vicky Smiley-turner Counselor 1523 Nicollet Ave. South, Minneapolis, MN 55403 2016-02-16
1326449026 Lowry Hill Psychotherapy and Assessment Center Psychologist 1910 Hennepin Ave S, Minneapolis, MN 55403 2014-09-12
1285062372 Cheryl Patterson Marriage & Family Therapist 1725 2nd Ave So, Minneapolis, MN 55403 2013-10-29
1598101156 Sherri M Dunham Counselor 1200 S Marquette Ave, Minneapolis, MN 55403 2013-05-21
1831533173 Laura Farley Young Social Worker 1925 Nicollet Ave S, Minneapolis, MN 55403 2013-04-17
1275801797 Elizabeth Ann Hamer Counselor 1717/1725 2nd Ave. So., Minneapolis, MN 55403 2011-12-12
1679859185 Accord Medical Inc Durable Medical Equipment & Medical Supplies 1815 Nicollet Ave, Minneapolis, MN 55403 2011-10-27
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992331359 Megan Kaye Horter Optometrist 1 Veterans Dr # 100-77, Minneapolis, MN 55417-2309 2020-03-18
1770069494 Emmalee Toldo Optometrist 710 E 24th St Ste 100, Minneapolis, MN 55404-3897 2018-07-16
1194216598 Sean Templeman Optometrist 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 2018-05-22
1053824045 Moulay Younes Elidrissi Optometrist 720 W Lake St # 107, Minneapolis, MN 55408-2963 2017-11-13
1811392947 Olson Eye Care, Pllc Optometrist 330 Quincy St Ne, Minneapolis, MN 55413-2314 2014-10-31
1255733309 Paula Moy Optometrist 2215 Park Ave Ste 406, Minneapolis, MN 55404 2014-09-19
1962840371 See Inc Optometrist 3032 Hennepin Ave, Minneapolis, MN 55408-2614 2013-06-07
1942647458 Global Vision, LLC Optometrist 2955 Chicago Ave, Minneapolis, MN 55407-1321 2013-05-24
1518221225 Andrea Vanmeter Optometrist 225 Main St Se, Minneapolis, MN 55414-2124 2012-06-27
1396023735 Maria Majewicz Andrews Optometrist 3102 W 50th St, Minneapolis, MN 55410-2101 2011-08-03
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Competitor

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City MINNEAPOLIS
Zip Code 55403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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