Jilda Long (NPI# 1568405884, PAC ID# 0840285201) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1568405884 |
| PAC ID by PECOS | 0840285201 |
| Professional Enrollment ID | I20111024000043 |
| Full Name | Jilda Long |
| Organization Legal Name | LYNDON GRAVES ENTERPRISE LLC |
| Address |
8830 Virginia St Amelia Court House VA 23002-4826 |
| Phone Number | 8888403032 |
| Gender | F |
| Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
| Graduation Year | 1998 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5193992972 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8830 Virginia St, Amelia Court House, VA 23002-4826 | 8888403032 | LYNDON GRAVES ENTERPRISE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% |
| Organization Legal Name | LYNDON GRAVES ENTERPRISE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Gardner | Optometry | Lyndon Graves Enterprise LLC | 317 Ruth Vista Rd, Lexington, SC 29073-8628 |
| Megan L Fisher | Optometry | Lyndon Graves Enterprise LLC | 830 S Broadway St, Acadia St Landry Guest House, Church Point, LA 70525-4402 |
| Charles T Vandyck | Optometry | Lyndon Graves Enterprise LLC | 8830 Virginia St, Amelia Court House, VA 23002-4826 |
| Tina Ansari | Optometry | Lyndon Graves Enterprise LLC | 8830 Virginia St, Amelia Court House, VA 23002-4826 |
| Gregory J Danhoff | Optometry | Lyndon Graves Enterprise LLC | 8830 Virginia St, Amelia Court House, VA 23002-4826 |
| Street Address |
8830 VIRGINIA ST |
| City | AMELIA COURT HOUSE |
| State | VA |
| Zip | 23002-4826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles T Vandyck | Optometry | Lyndon Graves Enterprise LLC | 8830 Virginia St, Amelia Court House, VA 23002-4826 |
| Tina Ansari | Optometry | Lyndon Graves Enterprise LLC | 8830 Virginia St, Amelia Court House, VA 23002-4826 |
| Gregory J Danhoff | Optometry | Lyndon Graves Enterprise LLC | 8830 Virginia St, Amelia Court House, VA 23002-4826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benson Howard | Physical Therapy | Amelia Physical Therapy Inc | 10130 Superior Way, Amelia Court House, VA 23002-4744 |
| James Smith Kilbreath Ii | Physical Therapy | Amelia Physical Therapy Inc | 10130 Superior Way, Amelia Court House, VA 23002-4744 |
| Margaret K Inge | Family Medicine | Southern Dominion Health System, Inc. | 8920 Otterburn Rd, Amelia Court House, VA 23002-4854 |
| Margaret R Campbell | Pediatric Medicine | Southern Dominion Health System, Inc. | 8920 Otterburn Rd, Amelia Court House, VA 23002-4854 |
| Debra M Sequeira | Family Medicine | Southern Dominion Health System, Inc. | 8920 Otterburn Rd, Amelia Court House, VA 23002-4854 |
| Ren A Thorne | Clinical Social Worker | Crossroads Services Board | 9101 Washington St, Amelia Court House, VA 23002-4897 |
| Norman B Holden Jr. | Psychiatry | Crossroads Services Board | 9101 Washington St, Amelia Court House, VA 23002-4897 |
| Nadeem Ahmed | Psychologist, Clinical | Crossroads Services Board | 9101 Washington St, Amelia Court House, VA 23002-4897 |
| City | AMELIA COURT HOUSE |
| Zip Code | 23002 |
| Specialty | OPTOMETRY |
| City + Specialty | AMELIA COURT HOUSE + OPTOMETRY |
Please comment or provide details below to improve the information on Jilda Long.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.