MEDICARE: DR. JEFF M. LONG ENTERPRISES, PLLC

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	152WC0802X	Corneal and Contact Management Optometrist
2	152WP0200X	Pediatric Optometrist

General Provider Information

NPI Number	:	1487912200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. JEFF M. LONG ENTERPRISES, PLLC

Provider Business Mailing Address
First Line	:	7374 S OLYMPIA AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74132-1849
Country	:	US
Telephone Number	:	918-794-2020
Fax Number	:	918-794-2720

Provider Business Practice Location Address
First Line	:	7374 S OLYMPIA AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74132-1849
Country	:	US
Telephone Number	:	918-794-2020
Fax Number	:	918-794-2720

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. JEFFREY MICHAEL LONG
Credential	:	O.D.
Telephone Number	:	918-794-2020

Provider Enumeration Date	:	04/30/2012
Last Update Date	:	09/24/2012

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1689721565 — DR. SARAH S. TURNER MD
Practice Location Address:

7380 S OLYMPIA AVE W , SUITE 312
TULSA, OK
74132-1849

Practice Phone: 918-845-8971
Practice Fax:

1770602302 — DR. JEFFREY MICHAEL LONG OD
Practice Location Address:

7374 S. OLYMPIA AVE.
TULSA, OK
74132-1849

Practice Phone: 918-794-2020
Practice Fax: 918-794-2720

1538462932 — AFFORDABLE DENTURES & IMPLANTS - OKLAHOMA, PLLC
Practice Location Address:

7336 S OLYMPIA AVE
TULSA, OK
74132-1849

Practice Phone: 918-446-2700
Practice Fax:

1891331450 — NEDA ALLAM
Practice Location Address:

7331 S OLYMPIA AVE PMB 393
TULSA, OK
74132-1849

Practice Phone: 918-200-9732
Practice Fax:

1831793165 — JARROD KIRKSEY
Practice Location Address:

7331 S OLYMPIA AVE # 179
TULSA, OK
74132-1849

Practice Phone: 918-800-1180
Practice Fax:

Directions to “DR. JEFF M. LONG ENTERPRISES, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.