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JAMES W LONG MD PC NPI 1578788014


NPI Information

NPI: 1578788014
Provider Name: JAMES W LONG MD PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1020 LIBERTY ST SE
SALEM, OR
ZIP 97302
Phone: (503) 581-7412
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JAMES W LONG MD PC is an ophthalmology in Salem, OR. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. JAMES W LONG MD PC NPI is 1578788014. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1020 LIBERTY ST SE
SALEM, OR
ZIP 97302-141
Phone: (503) 581-7412
Fax: (503) 581-1095

The provider's authorized official is Karen D Walls .
The authorized official title is Office Manager and has the following contact phone number (503) 581-7412.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 10/27/2007.


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
1152W00000XOptometrist1604ATOREGONNo
2152W00000XOptometrist3152ATIOREGONNo
3207W00000XOphthalmologyMD26362OREGONNo
4332H00000XEyewear SupplierMD10954OREGONNo
5207W00000XOphthalmologyMD10954OREGONYes

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
1R137671MEDICARE PIN
20550410001MEDICARE ID-TYPE UNSPECIFIEDOREGONDME GROUP BILLING
3R00WFBHVAMEDICARE PIN
4R0000WFBHVMEDICARE PIN
5R105114MEDICARE PIN
6241802MEDICAIDOREGON
7R136926MEDICARE PIN

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.