Individual
DR. TONYA D LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12300 JEFFERSON AVE, 904, NEWPORT NEWS, VA 23602-6900
(757) 249-4404
(757) 249-4761
Mailing address
12300 JEFFERSON AVE, 904, NEWPORT NEWS, VA 23602-6900
(757) 249-4404
(757) 249-4761
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001095
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
541825629
TAX ID
VA
Enumeration date
02/01/2007
Last updated
07/08/2007
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