CHARLES MARTIN LONG OPTICIAN NPI 1962531954

NPI Information

NPI: 1962531954
Provider Name: CHARLES MARTIN LONG, OPTICIAN
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
7777 SOUTHWEST FWY STE 106
HOUSTON, TX
ZIP 77074
Phone: (713) 772-9971
Get Directions

Charles Martin Long, OPTICIAN is an optician technician technologist in Houston, TX. Charles Martin Long, OPTICIAN NPI is 1962531954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7777 SOUTHWEST FWY STE 106
HOUSTON, TX
ZIP 77074-805
Phone: (713) 772-9971
Fax: (713) 772-3020

The enumeration date for this NPI number is 3/5/2007 and was last updated on 1/15/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0878070001	MEDICARE NSC	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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