Derek S Long Od INC

NPI #1255577532 in North Little Rock, Arkansas

Provider Information

NPI Number: 1255577532
Entity Type: Organization
Organization Name: Derek S Long Od INC
Primary Specialty: Optometrist
Enumeration Date: Dec 17, 2008
Last Updated: May 31, 2011

Practice Location

Address: 406 W PERSHING BLVD
City: North Little Rock
State: Arkansas
ZIP Code: 72114-2146
Phone: (501) 753-3145

Authorized Official

Name: DEREK S LONG, O.D.
Title: DOCTOR
Phone: (501) 803-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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