| Long Sight, Pc | |
|
22 Campbell Ave Se Roanoke VA 24011-1404 | |
| (540) 982-7890 | |
| (540) 982-7891 |
| Full Name | Long Sight, Pc |
|---|---|
| Speciality | Optometrist |
| Location | 22 Campbell Ave Se, Roanoke, Virginia |
| Authorized Official Name and Position | Jilda Edean Long (OPTOMETRIST/ OWNER) |
| Authorized Official Contact | 5408758036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Sight, Pc 4251 Twin Mountain Dr Vinton VA 24179-1021 Ph: (540) 875-8036 | Long Sight, Pc 22 Campbell Ave Se Roanoke VA 24011-1404 Ph: (540) 982-7890 |
| NPI Number | 1700070083 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 08/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700070083 | NPI | - | NPPES |
| DO5547 | Other | VA | RAILROAD MEDICARE GROUP PTAN |
| 1700070083 | Other | VA | RAILROAD MEDICARE GROUP NPI |
| 009237674 | Medicaid | VA | |
| 410047559 | Other | VA | RAILROAD MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0618001106 (Virginia) | Secondary |
| 152W00000X | Optometrist | 0618001106 (Virginia) | Primary |
Valley Gericare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2917 Penn Forest Blvd, Ste 518, Roanoke, VA 24018 Phone: 540-989-3613 | |
The Center For Ultra Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4235 Colonial Ave, First Floor, Roanoke, VA 24018 Phone: 540-312-5595 | |
Jefferson Internal Medicine Associates, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 S Jefferson St, Suite B, Roanoke, VA 24016 Phone: 540-342-1007 Fax: 540-345-4643 | |
Roanoke Partners In Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3239 Electric Rd, Suite A, Roanoke, VA 24018 Phone: 540-904-7912 Fax: 540-904-7926 | |
Carilion Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 S Jefferson St, Suite 625, Roanoke, VA 24011 Phone: 540-224-5681 | |
Hiren B Parikh, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3338 Circle Brook Dr, Roanoke, VA 24018 Phone: 609-781-8818 | |
Premier Telehealth Solutions Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6701 Peters Creek Rd Ste 110, Roanoke, VA 24019 Phone: 800-765-7130 Fax: 888-500-1891 |