Derek S Long Od Inc in Maumelle - Optometrist
Derek S Long Od Inc - NPI 1487812392
Derek S Long Od Inc is a Optometrist in Maumelle, Arkansas. Derek S Long Od Inc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Derek S Long Od Inc is 1487812392. The last update date is 2010-05-24.
Derek S Long Od Inc's current location address is 115 Audubon Dr Ste 8, Maumelle, Arkansas. You can contact this provider via phone number 5018033937 and fax number 5018033962. The mailing address for Derek S Long Od Inc is 115 Audubon Dr Ste 8, Maumelle, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Derek S Long Od Inc |
|---|---|
| Address | 115 Audubon Dr Ste 8, Maumelle, Arkansas |
| Phone Number | 5018033937 |
| Fax Number | 5018033962 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Long S Derek |
| Credentials | OD |
| Telephone Number | 5018033937 |
NPI Number Detail
| NPI Number | 1487812392 |
|---|---|
| Provider Enumeration Date | 2008-05-28 |
| Last Updated Date | 2010-05-24 |
Provider Mailing Address Detail
| Address | 115 Audubon Dr Ste 8 |
|---|---|
| City | Maumelle |
| State | Arkansas (AR) |
| Post Code | 721137409 |
| Phone Number | 5018033937 |
| Fax Number | 5018033962 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2547 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180260722 | AR | -- |
Post Comment/ Review Below
What is the Derek S Long Od Inc's unique identification number?
The Derek S Long Od Inc has been assigned the NPI (National Provider Identifier) Number 1487812392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Derek S Long Od Inc?
The Derek S Long Od Inc is physically situated at 115 Audubon Dr Ste 8, in the city of Maumelle, state of AR, with the postal code 721137409.
What is Derek S Long Od Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Derek S Long Od Inc is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487812392 to Derek S Long Od Inc?
The Derek S Long Od Inc received its 1487812392 assignment from the Centers for Medicare & Medicaid Services on 2008-05-28.
When was the information pertaining to Derek S Long Od Inc most recently updated or revised?
The details related to Derek S Long Od Inc, including its address, specialty, and other relevant information, were last updated or revised on 2010-05-24.