DANIEL J LONG

EYECARE PROFESSIONALS PC

Dr DANIEL J LONG is a male medical professional, specializing in Optometry. He graduated in 1979 from Illinois College Of Optometry At Chicago.

Contact

EYECARE PROFESSIONALS PC

113 3RD AVE NW
MANDAN
ND
585543129

Tel: 7016637434

DANIEL J LONG Information

Npi 1891894564
Pac Id 4688748478
Professional Enrollment Id I20110408000716
Last Name LONG
First Name DANIEL
Middle Name J
Suffix
Gender M
Credential
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 1979
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EYECARE PROFESSIONALS PC
Group Practice Pac Id 9638138993
Number Of Group Practice Members 3
Line 1 Street Address 113 3RD AVE NW
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MANDAN
State ND
Zip Code 585543129
Phone Number 7016637434
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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