Individual
DR. LONG DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5201 BOSQUE BLVD STE 220, WACO, TX 76710-4676
(254) 741-1022
(817) 473-0950
Mailing address
1001 RHONE LN, SOUTHLAKE, TX 76092-1449
(817) 262-2145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8143TG
TX
152WC0802X
Corneal and Contact Management Optometrist
8143TG
TX
152WV0400X
Vision Therapy Optometrist
8143TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8143TG
TEXAS OPTOMETRY BOARD
TX
Enumeration date
07/29/2013
Last updated
07/01/2026
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