National Provider Identifier Database

MICHAEL J LONG, OD – NPI #1093729584
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

MICHAEL J LONG, OD
1110 N MAIN ST
EDGERTON, WI53534
Phone: 608-884-3314
Fax: 608-884-4923
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MICHAEL J LONG

NPI Number 1093729584
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/28/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 1749
  • WI Medicaid: 38514300
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MICHAEL J LONG, OD

There are currently no reviews for MICHAEL J LONG, OD


NPIdb - Home
v2.201