Organization
LONG EYECARE & VISION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY LONG (OFFICE MANAGER)
(256) 673-5140
Entity
Organization
Contact information
Practice address
1521 GUNTER AVENUE, GUNTERSVILLE, AL 35976
(256) 582-3146
(256) 582-4851
Mailing address
1521 GUNTER AVENUE, GUNTERSVILLE, AL 35976
(256) 582-3146
(256) 582-4851
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S369TA156
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S369TA156
STATE LICENSE
AL
Enumeration date
02/24/2009
Last updated
04/18/2014
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