Long Sight, Pc is a Clinic/center in Roanoke, Virginia. Long Sight, Pc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Long Sight, Pc is 1700070083. The last update date is 2019-08-02.
Long Sight, Pc's current location address is 22 Campbell Ave Se, Roanoke, Virginia. You can contact this provider via phone number 5409827890 and fax number 5409827891. The mailing address for Long Sight, Pc is 22 Campbell Ave Se, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Long Sight, Pc |
|---|---|
| Address | 22 Campbell Ave Se, Roanoke, Virginia |
| Phone Number | 5409827890 |
| Fax Number | 5409827891 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Long Edean Jilda |
| Credentials | O.D. |
| Telephone Number | 5408758036 |
NPI Number Detail
| NPI Number | 1700070083 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2019-08-02 |
Provider Mailing Address Detail
| Address | 22 Campbell Ave Se |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240111404 |
| Phone Number | 5409827890 |
| Fax Number | 5409827891 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 618001106 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DO5547 | VA | RAILROAD MEDICARE GROUP PTAN | |
| 1700070083 | VA | RAILROAD MEDICARE GROUP NPI | |
| 9237674 | VA | -- | |
| 410047559 | VA | RAILROAD MEDICARE GROUP PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Long Sight, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Long Sight, Pc has been assigned the NPI (National Provider Identifier) 1700070083. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Long Sight, Pc's facilities are situated?
The facilities of Long Sight, Pc are physically located at the following address: 22 Campbell Ave Se, Roanoke, VA, 240111404.
What is the area of specialization for Long Sight, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Long Sight, Pc is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date was the 1700070083 assigned to Long Sight, Pc?
The Long Sight, Pc was issued its 1700070083 on 2007-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Long Sight, Pc last refreshed?
The information related to the Long Sight, Pc, including its address, specialty, and other relevant details, was last updated on 2019-08-02.
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