DR. JEFFREY MICHAEL LONG (NPI# 1770602302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770602302 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MICHAEL LONG |
| Credential | OD |
| Practice Address |
7374 S. Olympia Ave. Tulsa OK 74132-1849 |
| Practice Telephone | 9187942020 |
| Practice Fax Number | 9187942720 |
| Mailing Telephone | 9187942020 |
| Mailing Fax Number | 9187942720 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2341 | OK | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2341 | OK | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
2341 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100762220A | 05 | |
| OK | 200427010A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497224935 | Jeffrey Michael Long | Physical Therapist | 871 Mountain Ave Ste 122, Springfield, NJ 07081-3434 | 2018-11-14 |
| 1407327299 | Jeffrey A Long | Physician Assistant | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2018-12-06 |
| 1710388145 | Jeffrey James Long | Physician Assistant | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2014-09-04 |
| 1457760639 | Jeffrey Todd Long | Pharmacist | 123 Saint Nazaire Rd, Broussard, LA 70518-4202 | 2014-08-12 |
| 1730441999 | Jeffrey Long | Counselor | 500 Walnut St, Mckeesport, PA 15132-2801 | 2012-06-13 |
| 1699008441 | Jeffrey S Long | Pharmacy Technician | 11134 Q St, Omaha, NE 68137-3609 | 2009-09-11 |
| 1508071994 | Jeffrey Long | Counselor | 500 N West St, Doylestown, PA 18901-2366 | 2007-05-11 |
| 1508993007 | Jeffrey Leonard Long | Pharmacist | 945 Bethesda Dr, Zanesville, OH 43701-0801 | 2007-02-28 |
| 1245326933 | Jeffrey Wayne Long | Family Medicine | 42320 Highway 195, Haleyville, AL 35565 | 2006-10-04 |
| 1629177936 | Jeffrey P. Long | Radiology | 8166 Main St, Ste 101, Houma, LA 70360-3404 | 2006-09-22 |
| Street Address |
7374 S. OLYMPIA AVE. |
| City | TULSA |
| State | OK |
| Zip Code | 74132-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412992 | Dental Depot Southern Hills 71st & Jackson | Clinic/Center | 710 W. 74th Street, Tulsa, OK 74132 | 2019-05-10 |
| 1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
| 1467715300 | Mednow Urgent Care Center LLC | Emergency Medicine | 7127 S Olympia, Tulsa, OK 74132 | 2012-06-15 |
| 1801153754 | Jeffrey B Hill | Family Medicine | 7858 South Olympia Avenue West, Tulsa, OK 74132 | 2012-04-17 |
| 1871733519 | Mjr Enterprises LLC | Family Medicine | 3800 W. 71st, Inverness Village, Tulsa, OK 74132 | 2009-02-20 |
| 1356331052 | Trisza L Ray | Family Medicine | 7858 South Olympia Avenue, Tulsa, OK 74132 | 2005-10-24 |
| 1245229657 | Bruce E Hudkins | Otolaryngology | 6802 S Olympia Ave West, Ste 200, Tulsa, OK 74132 | 2005-10-18 |
| 1306843248 | Paul Pisarik | Family Medicine | 7858 S Olympia Ave, Tulsa, OK 74132 | 2005-07-07 |
| 1235752361 | William Richey | Pharmacist | 6901 S Olympia Ave, Tulsa, OK 74132 | 2020-05-23 |
| 1508424755 | Tulsa Ep, Pllc | Emergency Medicine | 717 W. 71st Street, Tulsa, OK 74132 | 2019-06-03 |
| Find all providers in zip 74132 | ||||
| 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 |
|---|---|---|---|---|
| 1487264495 | Blake Zoellner | Optometrist | 6999 S Memorial Drive, Tulsa, OK 74133-2052 | 2020-08-04 |
| 1336786094 | Hero Vision of Garnett Plaza Pllc | Optometrist | 11331 E 31st St, Tulsa, OK 74146-1906 | 2019-12-02 |
| 1457996472 | Dr. Bridget Zoellner and Associates LLC | Optometrist | 9720 E 31st St Ste A1, Tulsa, OK 74146-1259 | 2019-11-13 |
| 1891340253 | Shea Schmidt | Optometrist | 4606 E 67th St Ste 7, Tulsa, OK 74136-4943 | 2019-08-02 |
| 1598227621 | Focus Family Eyecare Pllc | Optometrist | 7110 S Mingo Rd Ste 108, Tulsa, OK 74133-3273 | 2019-04-06 |
| 1053803635 | South Tulsa Vision Development | Optometrist | 8988 S Sheridan Rd Ste D1, Tulsa, OK 74133-5035 | 2018-05-31 |
| 1124543079 | Kacy Ann Henley | Optometrist | 9102 S. Toledo Ave. #a, Tulsa, OK 74137-2741 | 2017-08-11 |
| 1326561507 | Kristin Patrick | Optometrist | 4520 S Harvard Ave Ste 135, Tulsa, OK 74135-2916 | 2017-07-19 |
| 1255871760 | Trina Inc | Optometrist | 7466 S Olympia Ave, Suite 50, Tulsa, OK 74132-1838 | 2017-03-02 |
| 1801331129 | Perini Eyecare, Pllc | Optometrist | 4002 S Yale Ave Ste B, Tulsa, OK 74135-6070 | 2016-12-21 |
| Find all providers in TULSA | ||||
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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.