Individual
ALISSA R LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1941 LIMESTONE RD STE 200, WILMINGTON, DE 19808-5400
(302) 998-2333
(302) 998-2982
Mailing address
1941 LIMESTONE RD STE 200, WILMINGTON, DE 19808-5400
(302) 998-2333
(302) 998-2982
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I3-0001342
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11895550
CAQH ID
DE
01
—
1245251313
MEDICARE GROUP NPI
DE
01
—
1639326721
INDIVIDUAL NPI
DE
01
—
802115H16
MEDICARE GRP MEMBER PTAN
—
01
—
G00016
MEDICARE GRP PTAN
—
01
—
I3-0001342
DE STATE LICENSE
DE
01
—
P00947088
PALMETTO GBA RR MEDICARE PTAN
DE
Enumeration date
08/20/2008
Last updated
05/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us