Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIAM FREDERICK LONG, OD
ActiveDR. WILLIAM FREDERICK LONG, OD is a Optometrist healthcare provider located in ST CHARLES, Missouri. NPI 1174622997 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ST CHARLES, MO
Registration Details
- NPI Number
- 1174622997
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (20.098905034388 yrs)
- Last Updated
- Jul 8, 2007
- License
-
T02270 (MO)
Practice Information
- Address
-
11 CHARLESTOWNE PLAZAST CHARLES, MO, 63303Browse MO providers · Browse ZIP 63303
- Phone
- 6364415585
- Fax
- 6364415910
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.