STEPHANIE C. LONG (NPI# 1639588965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639588965 |
| Entity Type | Individual |
| Full Name | STEPHANIE C. LONG |
| Credential | OD |
| Practice Address |
10465 Saint Charles Rock Rd Saint Ann MO 63074-1829 |
| Mailing Address |
211 E Broadway Alton IL 62002-6220 |
| Practice Telephone | 3144232010 |
| Practice Fax Number | 3144261957 |
| Mailing Telephone | 6184629818 |
| Mailing Fax Number | 3147414947 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2014028346 | MO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143380 | Stephanie Diane-hunsley Long | Pharmacist | 1050 E Piedmont Rd Ste P, Marietta, GA 30062-4744 | 2020-08-04 |
| 1457858359 | Stephanie Roshelle Long | Counselor | 233 Prospect St Apt 3c, East Orange, NJ 07017-2861 | 2018-04-09 |
| 1164548343 | Stephanie Lyn Long | Occupational Therapist | 5742 E Orchard Rd, Mooresville, IN 46158-6307 | 2007-03-21 |
| 1508427303 | Stephanie Long | Nurse Practitioner | 4301 W Markham St, Little Rock, AR 72205-7199 | 2019-06-24 |
| 1346808581 | Stephanie Anne Long | Occupational Therapist | 1270 Belmont Ave, Schenectady, NY 12308-2104 | 2019-06-03 |
| 1104311521 | Stephanie Lauren Long | Occupational Therapist | 409 Park Ave, Adamsville, TN 38310-2461 | 2018-06-27 |
| 1396269452 | Stephanie Diane Long | Physical Therapist | 9400 Sw Beaverton Hillsdale Hwy Ste 205, Beaverton, OR 97005-3349 | 2017-07-31 |
| 1396280343 | Stephanie Long | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2016-12-29 |
| 1881077022 | Stephanie Long | Case Manager/Care Coordinator | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2015-07-07 |
| 1821401357 | Stephanie Long | Physical Therapist | 2120 Bryan Valley Commercial Dr, O Fallon, MO 63366-3495 | 2014-06-02 |
| Street Address |
10465 SAINT CHARLES ROCK RD |
| City | SAINT ANN |
| State | MO |
| Zip Code | 63074-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548748148 | Amazing Times, LLC | Clinic/Center | 9921 Holtwick Ave, St Ann, MO 63074 | 2018-08-06 |
| 1215095013 | Nu-crown, LLC | Optometrist | 10465 St. Charles Rock Road, St. Louis, MO 63074 | 2006-12-05 |
| 1760540538 | Residential Services Corporation | Assisted Living Facility | 10441 International Plaza Drive, St Ann, MO 63074 | 2006-12-05 |
| 1679996771 | One Power In Home Cds | Home Health | 11325 Hi Tower Dr Apt 3, Saint Ann, MO 63074-1026 | 2014-01-24 |
| 1740614759 | One Power In-home Care Cds, Inc. | Home Health | 11325 Hi Tower Dr, Suite #3, Saint Ann, MO 63074-1026 | 2013-08-27 |
| 1851715882 | Loving Care Home Care Service LLC | Home Health | 11360 Gardenview Ln, #4, Saint Ann, MO 63074-1066 | 2014-02-11 |
| 1093222176 | Sunshine Health Services | In Home Supportive Care | 11260 Liana Ln, Saint Ann, MO 63074-1101 | 2018-01-10 |
| 1720446214 | Precision Home Health Services LLC | Point of Service | 4436 Saint Leo Ln, Saint Ann, MO 63074-1222 | 2016-01-29 |
| 1811355308 | Apex Home Health Services LLC | Point of Service | 4431 Saint Leo Ln, Saint Ann, MO 63074-1241 | 2016-01-29 |
| 1538302211 | Charles Branch | Mechanotherapist | 10870 Pear Blossom Ct, Apt. C, Saint Ann, MO 63074-1245 | 2009-04-10 |
| Find all providers in zip 63074 | ||||
| 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 |
|---|---|---|---|---|
| 1083754543 | Pearle Vision Inc | Optometrist | 753 Northwest Plz, Sp #753, Saint Ann, MO 63074-2205 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553373 | Eye Surgery Consultants LLC | Optometrist | 2530 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2436 | 2020-09-16 |
| 1811500069 | Pec Chesterfield, LLC | Optometrist | 317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 | 2020-08-27 |
| 1700402500 | Robert William Duncan | Optometrist | 341a N Creek Dr, Festus, MO 63028-2657 | 2020-06-18 |
| 1871118992 | Erik Michael Peyton | Optometrist | 6043 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2020-06-15 |
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1013532464 | Novack Vision Care, LLC | Optometrist | 1166 W 103rd St, Kansas City, MO 64114-4511 | 2020-06-11 |
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1275158859 | Krystal Rae Adams Matson | Optometrist | 608 N Maguire St, Warrensburg, MO 64093-1420 | 2020-06-10 |
| 1720601719 | Katelyn Hardy | Optometrist | 601 E Russell Ave Ste A, Warrensburg, MO 64093-9601 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
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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.