| Dr Derek Scott Long, OD | |
|
115 Audubon Dr, Suite 8, Maumelle, AR 72113-7408 | |
| (501) 803-3937 | |
| (501) 803-3962 |
| Full Name | Dr Derek Scott Long |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 21 Years |
| Location | 115 Audubon Dr, Maumelle, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699734368 | NPI | - | NPPES |
| 154833722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | AR2547 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Derek S Long Od Inc | 0244388700 | 2 |
| Provider Name | Derek S Long Od Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255577532 PECOS PAC ID: 0244388700 Enrollment ID: O20090511000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Scott Long, OD 115 Audubon Dr, Suite 8, Maumelle, AR 72113-7408 Ph: (501) 803-3937 | Dr Derek Scott Long, OD 115 Audubon Dr, Suite 8, Maumelle, AR 72113-7408 Ph: (501) 803-3937 |
Derek S Long Od, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 115 Audubon Dr Ste 8, Maumelle, AR 72113 Phone: 501-803-3937 Fax: 501-803-3962 | |
David Manning, Od, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 1700 Club Manor Dr, Suite 102, Maumelle, AR 72113 Phone: 501-851-2170 Fax: 501-851-2537 | |
Maumelle Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 Millwood Cir Ste 107a, Maumelle, AR 72113 Phone: 501-803-3937 Fax: 501-803-3962 | |
Andrea Walker, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 115 Audubon Dr, Maumelle, AR 72113 Phone: 501-803-3937 | |
Ms. Kathryn Leeann Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 115 Audubon Dr., Ste 8, Maumelle, AR 72113 Phone: 501-803-3962 Fax: 501-803-3962 |