DR. ALFRED M LONG JR. (NPI# 1891876462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891876462 |
| Entity Type | Individual |
| Full Name | DR. ALFRED M LONG JR. |
| Credential | OD |
| Practice Address |
2645 Dallas Hwy Suite 100 Marietta GA 30064 |
| Practice Telephone | 7704228002 |
| Practice Fax Number | 7704224618 |
| Mailing Telephone | 7704228002 |
| Mailing Fax Number | 7704224618 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1218 | GA | Eye and Vision Services Providers |
| Street Address |
2645 DALLAS HWY SUITE 100 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174687446 | David E Fierce | Optometrist | 2645 Dallas Hwy, Ste 100, Marietta, GA 30064 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| 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 |
|---|---|---|---|---|
| 1376154963 | Family First Vision Care Georgia | Optometrist | 1401 Johnson Ferry Rd Ste 148b, Marietta, GA 30062-6499 | 2020-08-17 |
| 1629560032 | Jinen Shah | Optometrist | 1100 Johnson Ferry Rd Ste 120, Marietta, GA 30068-2700 | 2018-05-31 |
| 1265967509 | Samaneh Sahand | Optometrist | 2200 Roswell Rd Ste 160, Marietta, GA 30062-2984 | 2017-04-24 |
| 1457695397 | Krista Chopra | Optometrist | 621 Virginia St Apt 17, Marietta, OH 45750-2893 | 2012-11-15 |
| 1720376353 | Alfred M. Long, Jr., O.d., LLC | Optometrist | 690 Stone House Ln Nw, Marietta, GA 30064-4700 | 2011-07-18 |
| 1497073951 | Lauren Theresa Fiscale | Optometrist | 850 Old Piedmont Rd, Marietta, GA 30066-5490 | 2010-05-08 |
| 1396073862 | Wildwood Eye Care LLC | Optometrist | 1545 Powers Ferry Rd, Suite 240, Marietta, GA 30067-9412 | 2009-11-22 |
| 1326373069 | American Optical Services LLC | Optometrist | 1311 Johnson Ferry Rd, Marietta, GA 30068-2944 | 2009-10-14 |
| 1760715361 | Mital Patel | Optometrist | 3535 Roswell Rd Ste 8, Marietta, GA 30062-8827 | 2009-09-14 |
| 1639300502 | Jose Goncalves PC | Optometrist | 1401 Johnson Ferry Rd Suite 148b, Marietta, GA 30062 | 2009-07-27 |
| Find all providers in MARIETTA | ||||
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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.