ALISSA R LONG (NPI# 1639326721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639326721 |
| Entity Type | Individual |
| Full Name | ALISSA R LONG |
| Credential | O.D. |
| Practice Address |
885 S Governors Ave Dover DE 19904-4158 |
| Practice Telephone | 3027345861 |
| Practice Fax Number | 3027341921 |
| Mailing Telephone | 3027345861 |
| Mailing Fax Number | 3027341921 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | I3-0001342 | DE | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | PALMETTO GBA RR MEDICARE PTAN | P00947088 | 01 |
| DE | INDIVIDUAL NPI | 1639326721 | 01 |
| MEDICARE GRP MEMBER PTAN | 802115H16 | 01 | |
| MEDICARE GRP PTAN | G00016 | 01 | |
| DE | DE STATE LICENSE | I3-0001342 | 01 |
| DE | CAQH ID | 11895550 | 01 |
| DE | MEDICARE GROUP NPI | 1245251313 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033548326 | Alissa Long | Registered Nurse | 7210 120th Ave Ne, Kirkland, WA 98033-8100 | 2013-11-06 |
| Street Address |
885 S GOVERNORS AVE |
| City | DOVER |
| State | DE |
| Zip Code | 19904-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720522 | Dennis R Mirra | Optometrist | 885 S Governors Ave, Dover, DE 19904-4158 | 2005-09-13 |
| 1215306055 | Myeyedr Optometry of Delaware Pa | Optometrist | 885 S Governors Ave, Dover, DE 19904-4158 | 2015-09-23 |
| 1053737163 | Halpern Eye Associates, P. A. | Optometrist | 885 S Governors Ave, Dover, DE 19904-4158 | 2014-03-13 |
| 1306187620 | Halpern Eye Associates, P. A. | Eyewear Supplier (Equipment, not the service) | 885 S Governors Ave, Dover, DE 19904-4158 | 2013-03-12 |
| 1952605743 | Prachi Nilesh Pathak | Optometrist | 885 S Governors Ave, Dover, DE 19904-4158 | 2011-01-07 |
| 1639403058 | Kelly Kristine Chambers | Optometrist | 885 S Governors Ave, Dover, DE 19904-4158 | 2009-10-01 |
| 1356573141 | Timothy John Smith | Optometrist | 885 S Governors Ave, Dover, DE 19904-4158 | 2009-08-13 |
| 1578753984 | Jessica Marie Vanek | Optometrist | 885 S Governors Ave, Dover, DE 19904-4158 | 2007-08-01 |
| 1093895260 | Priti V Patel | Optometrist | 885 S Governors Ave, Dover, DE 19904-4158 | 2006-10-16 |
| 1568551265 | Robert Luke Wagoner | Optometrist | 885 S Governors Ave, Dover, DE 19904-4158 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124515234 | Eye Logic LLC | Optometrist | 158a Nh Route 108, Dover, NH 03820-8812 | 2018-04-16 |
| 1922484211 | Adriane Rae Hohmann | Optometrist | 1404 Forrest Ave Ste 1, Dover, DE 19904-3478 | 2015-08-10 |
| 1578799516 | Heather Marie Riemann | Optometrist | 773a South Queen St., Dover, DE 19904 | 2009-06-04 |
| 1750571162 | Samuel Ryan Halpern | Optometrist | 200 Banning St Ste 130, Dover, DE 19904-3486 | 2007-08-01 |
| 1043415797 | Sterling Optical | Optometrist | 1065 N Dupont Hwy, North Dover Center, Dover, DE 19901-2006 | 2007-06-20 |
| 1861515322 | Dover Eye Care Center, Inc. | Optometrist | 68 W Blackwell St, Dover, NJ 07801-3811 | 2007-04-09 |
| 1063537553 | Linda A. Wirth | Optometrist | 2 Whiting Road, Dover, MA 02030-2374 | 2007-03-21 |
| 1417087164 | Halpern Eye Associates, P. A. | Optometrist | 885 - South Governors Ave, Dover, DE 19904-4158 | 2007-03-06 |
| 1053449736 | Joseph J Sobek | Optometrist | 515 N Wooster Ave, Dover, OH 44622-2862 | 2007-03-02 |
| 1558440032 | Bryan K Sterling | Optometrist | 773a South Queen St, Dover, DE 19904 | 2006-11-03 |
| Find all providers in DOVER | ||||
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| 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.