MEDICARE: LONG VIEW EYE CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1033679881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONG VIEW EYE CENTER, LLC

Provider Business Mailing Address
First Line	:	14440 SENECA TRL N
Second Line	:
City	:	LEWISBURG
State	:	WV
Zip	:	24901-1589
Country	:	US
Telephone Number	:	304-520-3630
Fax Number	:

Provider Business Practice Location Address
First Line	:	14440 SENECA TRL N
Second Line	:
City	:	LEWISBURG
State	:	WV
Zip	:	24901-1589
Country	:	US
Telephone Number	:	304-520-3630
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAVANNAH FAYE LONG
Credential	:	OD
Telephone Number	:	304-520-3630

Provider Enumeration Date	:	03/20/2019
Last Update Date	:	05/28/2026

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