NPI 1720376353 · live from the CMS NPI Registry
Alfred M. Long, Jr., O.D., LLC
Optometrist in Marietta, GA. National Provider Identifier 1720376353, active.
NPI record
| NPI | 1720376353 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 690 Stone House Ln Nw, Marietta, GA 30064 |
| Practice phone | 770-313-7286 |
| Enumerated | July 18, 2011 |
| Last updated | July 18, 2011 |
| Authorized official | Alfred Long, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT001218 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.