Dr William Frederick Long, OD is a
Optometrist based in St Charles, Missouri. Dr William Frederick Long is licensed to practice in Missouri (license number T02270) and his current practice location is
11 Charlestowne Plaza, St Charles, Missouri. He can be reached at his office (for appointments etc.) via phone at
(636) 441-5585.
NPI number for Dr William Frederick Long is 1174622997 and his current mailing address is 8001 Natural Brigde Rd, Mariallac Hall, St Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174622997.
Healthcare Provider's Profile
| Full Name | Dr William Frederick Long |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 11 Charlestowne Plaza, St Charles, Missouri |
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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: 1174622997
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr William Frederick Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174622997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | T02270 (Missouri) | 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 William Frederick 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 William Frederick Long, OD
8001 Natural Brigde Rd, Mariallac Hall,
St Louis, MO 63121
Ph: (314) 516-5987 | Dr William Frederick Long, OD
11 Charlestowne Plaza,
St Charles, MO 63303
Ph: (636) 441-5585 |
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