| Derek S Long Od, Inc | |
|
115 Audubon Dr Ste 8, Maumelle, AR 72113-7409 | |
| (501) 803-3937 | |
| (501) 803-3962 |
| Full Name | Derek S Long Od, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 115 Audubon Dr Ste 8, Maumelle, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043412067 | NPI | - | NPPES |
| 178313722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2547 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derek S Long Od, Inc 115 Audubon Dr Ste 8, Maumelle, AR 72113-7409 Ph: (501) 803-3937 | Derek S Long Od, Inc 115 Audubon Dr Ste 8, Maumelle, AR 72113-7409 Ph: (501) 803-3937 |
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 | |
Dr. Derek Scott Long, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 115 Audubon Dr, Suite 8, Maumelle, AR 72113 Phone: 501-803-3937 Fax: 501-803-3962 | |
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 |