JILDA EDEAN LONG


Address: 22 Campbell Ave Se, Roanoke, VA 24011
Phone: 5409827890

JILDA EDEAN LONG (NPI# 1568405884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568405884
Entity Type Individual
Full Name JILDA EDEAN LONG
Other Name JILDA EDEAN BARKSDALE
Credential OD
Practice Address 22 Campbell Ave Se
Roanoke
VA 24011
Mailing Address 4251 Twin Mountain Dr
Vinton
VA 24179-1021
Practice Telephone 5409827890
Practice Fax Number 5409827891
Mailing Telephone 5408758036
Mailing Fax Number 8888408937
Enumeration Date 2006-06-14
Last Update Date 2019-08-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 0618001106 VA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA UNITED HEALTH CARE 542036583 01
VA 9237674 05
VA ANTHEM 277658 01
CIGNA 2119121 01

Office Location

Street Address 22 CAMPBELL AVE SE
City ROANOKE
State VA
Zip Code 24011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700070083 Long Sight, PC Clinic/Center 22 Campbell Ave Se, Roanoke, VA 24011-1404 2007-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578009346 Debra Jean Massaro Nurse Practitioner 123 Sesame St., Roanoke, VA 24011 2017-01-17
1558415117 Total Action Against Poverty Voluntary or Charitable 145 Campbell Ave Sw, Suite 601, Roanoke, VA 24011-1211 2007-01-22
1164040960 Daniel Scott Feivor Physician Assistant 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 2020-07-08
1467019398 Michael Gumpert Military Health Care Provider 35 Campbell Ave Sw Apt 215, Roanoke, VA 24011-1335 2019-05-27
1679717151 Blue Ridge Behavioral Healthcare Community/Behavioral Health 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 2009-04-28
1679717854 Monique Deberry Worrell Social Worker 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 2009-05-01
1265523211 City of Roanoke Clinic/Center 120 Kirk Ave Sw, Roanoke, VA 24011-1602 2006-09-27
1386892362 Tennille Alycee Smelcer Nurse Practitioner 213 S Jefferson Street, Suite 625, Roanoke, VA 24011-1700 2008-09-03
1447206370 Carilion Healthcare Corporation Clinic/Center 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705 2006-05-25
1275855785 Carilion Tazewell Community Hospital Family Medicine 213 S Jefferson St, Suite 625, Roanoke, VA 24011-1705 2010-02-25
Find all providers in zip 24011

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467931246 Kathryn Rosa Johnson Optometrist 3763 Franklin Rd Sw, Roanoke, VA 24014-2261 2018-08-12
1275032609 Kelsey L. Gray Optometrist 2726 Electric Rd Ste 104, Roanoke, VA 24018-3528 2018-02-12
1740722669 Humaira Hassan Optometrist 1104 N Highway 377 Ste 200, Roanoke, TX 76262-9124 2016-11-09
1447702303 Kartesz Eye Associates Inc. Optometrist 4922 Vally View Blvd., Roanoke, VA 24012 2016-10-26
1629464037 Star City Eye Care Optometrist 4822 Valley View Blvd Nw, Ste C, Roanoke, VA 24012-2025 2015-04-13
1194157248 Cassandra Noel Benedick Optometrist 100 Country View Dr Ste 100, Roanoke, TX 76262-2055 2013-07-31
1427329499 Roanoke Vision Associates, PC Optometrist 4524 Challenger Ave, Suite A, Roanoke, VA 24012-7028 2012-01-23
1841525383 William Kastern, O.d., Ph.d., LLC Optometrist 4822c Valley View Blvd., Roanoke, VA 24012 2009-10-15
1588894950 Ami Nadolsky Optometrist 4822c Valley View Blvd, Roanoke, VA 24012 2009-07-20
1164674289 Karl C. Saliba, O.d., PC Optometrist 2222 Electric Road, S.w., Suite 201, Roanoke, VA 24018-2300 2008-10-21
Find all providers in ROANOKE

Competitor

Search similar providers

City ROANOKE
Zip Code 24011

Improve Information

Please comment or provide details below to improve the information on JILDA EDEAN LONG.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches