DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN LONG

Active Sole Proprietor

SUSAN LONG is a Optician, Dispensing healthcare provider located in GALLUP, New Mexico. NPI 1326104787 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · GALLUP, NM

Registration Details

NPI Number
1326104787
Provider Type
Individual
Gender
Female
NPI Issued
Dec 29, 2006 (19.590997657624 yrs)
Last Updated
Jul 8, 2007
License
03-037772-00-2 (NM)
Sole Proprietor
Yes

Practice Information

Address
1300 W I-40 FRONTAGE RD STE 322
GALLUP, NM, 873013323
Browse NM providers · Browse ZIP 87301
Phone
5057223030
Fax
5057220367
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in GALLUP, NM

Name Credential NPI
CHRISTY TORRES OPTICAN 1528275344
GERALD L VALDEZ OPTICIAN 1558693010
MS. NORMA KARRAM 1558882910
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.