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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
Edgerton Vision Center 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 |