Long, Lance

Long, Lance is an individual health care provider with primary practice located at 1303 Suite 108 Us 127 South , Frankfort KY 40601. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Long, Lance can be contacted via phone (502) 875-3050.

Contact Information

Primary practice address
1303 Suite 108 Us 127 South Frankfort KY 40601
Phone: (502) 875-3050
Fax: (502) 226-4261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1460DT Kentucky

Profile Details

NPI number 1265424303
LBN Legal business name Long, Lance
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265424303 NPPES
Kentucky MEDICAID 77000149
Kentucky Other P00217662
Kentucky Other 000000351964
Kentucky Other 1460DT

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