| Dr Michael James Long, OD | |
|
1110 N Main St, Edgerton, WI 53534 | |
| (608) 884-3314 | |
| (608) 884-4923 |
| Full Name | Dr Michael James Long |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1110 N Main St, Edgerton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093729584 | NPI | - | NPPES |
| 38514300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1749 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael James Long, OD 1110 N Main St, Edgerton, WI 53534 Ph: (608) 884-3314 | Dr Michael James Long, OD 1110 N Main St, Edgerton, WI 53534 Ph: (608) 884-3314 |
Milton & Edgerton Vision Centers, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1110 N Main St, Edgerton, WI 53534 Phone: 608-884-3314 Fax: 608-884-4923 | |
Dr. Tristan Michael Long, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1110 N Main St, Edgerton, WI 53534 Phone: 608-884-3314 Fax: 608-884-4923 |