Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILDA EDEAN LONG, OD
Active Sole ProprietorJILDA EDEAN LONG, OD is a Optometrist healthcare provider located in ROANOKE, Virginia. NPI 1568405884 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ROANOKE, VA
Registration Details
- NPI Number
- 1568405884
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2006 (19.985459763228 yrs)
- Last Updated
- Aug 2, 2019
- License
-
0618001106 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22 CAMPBELL AVE SEROANOKE, VA, 24011Browse VA providers · Browse ZIP 24011
- Phone
- 5409827890
- Fax
- 5409827891
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in ROANOKE, VA
| Name | Credential | NPI |
|---|---|---|
| DONALD MAC SCOTHORN | O.D. | 1013911387 |
| DR. KEVIN THOMAS COOLBAUGH | OD | 1306842695 |
| DR. SHARI L COOLBAUGH | OD | 1649277229 |
| DR. NEAL S JESSUP | O.D. | 1972504645 |
| DR. THOMAS KENT WILCOX | O.D. | 1013993963 |
| DR. JOE RILEY BLACKSTOCK | OD | 1497720437 |
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.