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Contact Information

BLAKE E LONG, OD
7706 WINCHESTER RD
105
MEMPHIS, TN38125
 Phone: 901-752-1551
 Fax: 901-752-1505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BLAKE E LONG · (Female)

NPI # 1871101071
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/14/2020
Last updated 07/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 3623
Hospital affiliation(s) Not Available
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.

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