Dr Michael James Long, OD is a
Optometrist based in Edgerton, Wisconsin. Dr Michael James Long is licensed to practice in Wisconsin (license number 1749) and his current practice location is
1110 N Main St, Edgerton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 884-3314.
NPI number for Dr Michael James Long is 1093729584 and his current mailing address is 1110 N Main St, Edgerton, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093729584.
Healthcare Provider's Profile
| Full Name | Dr Michael James Long |
|---|
| Gender | Male |
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| Speciality | Optometrist |
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| Location | 1110 N Main St, Edgerton, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093729584
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Michael James Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093729584 | NPI | - | NPPES |
| 38514300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1749 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael James Long is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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