Organization
2020 ICARE LONGVIEW PLLC
Active
Other names
2020 iCare and iWear Longview PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG DO O.D. (PRESIDENT)
(903) 663-4047
Entity
Organization
Contact information
Practice address
307 W LOOP 281 STE 2B, LONGVIEW, TX 75605-4442
(903) 663-4047
Mailing address
307 W LOOP 281 STE 2B, LONGVIEW, TX 75605-4442
(903) 663-4047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8382TG
TEXAS OPTOMETRY BOARD
TX
Enumeration date
06/24/2022
Last updated
02/04/2025
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