DR. KRYSTAL L. LONG (NPI# 1942555974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942555974 |
| Entity Type | Individual |
| Full Name | DR. KRYSTAL L. LONG |
| Credential | O.D. |
| Practice Address |
900 Nicollet Mall Minneapolis MN 55403-2530 |
| Mailing Address |
209 5th St Se Apt 307 Minneapolis MN 55414-1136 |
| Practice Telephone | 6123387551 |
| Practice Fax Number | 6123387403 |
| Mailing Telephone | 2182346339 |
| Mailing Fax Number | 6123387403 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2013-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3297 | MN | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 6140 | OH | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083780290 | Krystal Matsue Long | Lactation Consultant, Non-RN | 2034 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6499 | 2006-11-28 |
| Street Address |
900 NICOLLET MALL |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55403-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043204647 | Rhonda Marie Wolfe | Nurse Practitioner | 900 Nicollet Mall, Minneapolis, MN 55403-2530 | 2005-09-09 |
| 1306447339 | Alexandra Elizabeth Krueger | Nurse Practitioner | 900 Nicollet Mall, Minneapolis, MN 55403-2530 | 2020-11-05 |
| 1124629464 | Kelly Roberto | Nurse Practitioner | 900 Nicollet Mall, Minneapolis, MN 55403-2530 | 2020-11-03 |
| 1588275648 | Katelyn Gammell | Nurse Practitioner | 900 Nicollet Mall, Minneapolis, MN 55403-2530 | 2020-08-12 |
| 1205396835 | Shikha Mehta | Optometrist | 900 Nicollet Mall, Minneapolis, MN 55403-2530 | 2019-03-20 |
| 1205228921 | Lindsay Hur | Pharmacist | 900 Nicollet Mall, Minneapolis, MN 55403-2530 | 2015-03-04 |
| 1124419114 | Christy Berryhill | Nurse Practitioner | 900 Nicollet Mall, Minneapolis, MN 55403-2530 | 2015-02-11 |
| 1548665896 | Kelly Jean Nadeau Kruger | Nurse Practitioner | 900 Nicollet Mall, Minneapolis, MN 55403-2530 | 2014-10-29 |
| 1881036614 | Tyler John Schultz | Pharmacist | 900 Nicollet Mall, Minneapolis, MN 55403-2530 | 2013-07-22 |
| 1437590221 | Krystal L Long, Od, PC | Optometrist | 900 Nicollet Mall, Minneapolis, MN 55403-2530 | 2013-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508312174 | Afya Translation Corp | Interpreter | 1 E 19th Street, Suite 2, Minneapolis, MN 55403 | 2016-09-01 |
| 1891146692 | Alicia Kornacker | Doula | 1937 Aldrich Avenue South, Apt 12, Minneapolis, MN 55403 | 2016-06-23 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1063871259 | Vicky Smiley-turner | Counselor | 1523 Nicollet Ave. South, Minneapolis, MN 55403 | 2016-02-16 |
| 1326449026 | Lowry Hill Psychotherapy and Assessment Center | Psychologist | 1910 Hennepin Ave S, Minneapolis, MN 55403 | 2014-09-12 |
| 1285062372 | Cheryl Patterson | Marriage & Family Therapist | 1725 2nd Ave So, Minneapolis, MN 55403 | 2013-10-29 |
| 1598101156 | Sherri M Dunham | Counselor | 1200 S Marquette Ave, Minneapolis, MN 55403 | 2013-05-21 |
| 1831533173 | Laura Farley Young | Social Worker | 1925 Nicollet Ave S, Minneapolis, MN 55403 | 2013-04-17 |
| 1275801797 | Elizabeth Ann Hamer | Counselor | 1717/1725 2nd Ave. So., Minneapolis, MN 55403 | 2011-12-12 |
| 1679859185 | Accord Medical Inc | Durable Medical Equipment & Medical Supplies | 1815 Nicollet Ave, Minneapolis, MN 55403 | 2011-10-27 |
| Find all providers in zip 55403 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331359 | Megan Kaye Horter | Optometrist | 1 Veterans Dr # 100-77, Minneapolis, MN 55417-2309 | 2020-03-18 |
| 1770069494 | Emmalee Toldo | Optometrist | 710 E 24th St Ste 100, Minneapolis, MN 55404-3897 | 2018-07-16 |
| 1194216598 | Sean Templeman | Optometrist | 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 | 2018-05-22 |
| 1053824045 | Moulay Younes Elidrissi | Optometrist | 720 W Lake St # 107, Minneapolis, MN 55408-2963 | 2017-11-13 |
| 1811392947 | Olson Eye Care, Pllc | Optometrist | 330 Quincy St Ne, Minneapolis, MN 55413-2314 | 2014-10-31 |
| 1255733309 | Paula Moy | Optometrist | 2215 Park Ave Ste 406, Minneapolis, MN 55404 | 2014-09-19 |
| 1962840371 | See Inc | Optometrist | 3032 Hennepin Ave, Minneapolis, MN 55408-2614 | 2013-06-07 |
| 1942647458 | Global Vision, LLC | Optometrist | 2955 Chicago Ave, Minneapolis, MN 55407-1321 | 2013-05-24 |
| 1518221225 | Andrea Vanmeter | Optometrist | 225 Main St Se, Minneapolis, MN 55414-2124 | 2012-06-27 |
| 1396023735 | Maria Majewicz Andrews | Optometrist | 3102 W 50th St, Minneapolis, MN 55410-2101 | 2011-08-03 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55403 |
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| 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.