Provider Type Icon

DR. JEFF M. LONG ENTERPRISES PLLC NPI 1487912200


NPI Information

NPI: 1487912200
Provider Name: DR. JEFF M. LONG ENTERPRISES, PLLC

Doing Business As: DR. JEFF LONG'S CHILDREN & FAMILY EYE CARE

Classification: Optometrist - 152WP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
7374 S OLYMPIA AVE
TULSA, OK
ZIP 74132
Phone: (918) 794-2020
Get Directions

DR. JEFF M. LONG ENTERPRISES, PLLC is a pediatrics optometrist in Tulsa, OK. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. DR. JEFF M. LONG ENTERPRISES, PLLC NPI is 1487912200. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dr. Jeff Long's Children & Family Eye Care.

The provider's business location address is:

7374 S OLYMPIA AVE
TULSA, OK
ZIP 74132-849
Phone: (918) 794-2020
Fax: (918) 794-2720

The provider's authorized official is Jeffrey Michael Long .
The authorized official title is President/owner and has the following contact phone number (918) 794-2020.

The enumeration date for this NPI number is 4/30/2012 and was last updated on 9/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementNo
2152WP0200XOptometristPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OKAAA4082MEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.