Krystal Lee Long (NPI# 1942555974, PAC ID# 1355561127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1942555974 |
| PAC ID by PECOS | 1355561127 |
| Professional Enrollment ID | I20140929001466 |
| Full Name | Krystal Lee Long |
| Organization Legal Name | KRYSTAL L. LONG, OD, PC |
| Address |
900 Nicollet Mall Minneapolis MN 55403-2530 |
| Phone Number | 6123387551 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2012 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0446470215 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 900 Nicollet Mall, Minneapolis, MN 55403-2530 | 6123387551 | KRYSTAL L. LONG, OD, PC |
| Organization Legal Name | KRYSTAL L. LONG, OD, PC |
| Physicians | 1 |
| Street Address |
900 NICOLLET MALL |
| City | MINNEAPOLIS |
| State | MN |
| Zip | 55403-2530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy M Berryhill | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 900 Nicollet Mall, Minneapolis, MN 55403-2530 |
| Colleen M Tschudy | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 900 Nicollet Mall, Minneapolis, MN 55403-2530 |
| Katrina M Nelson Phelan | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 900 Nicollet Mall, Minneapolis, MN 55403-2530 |
| Chad Michael Legois | Optometry | 900 Nicollet Mall, Minneapolis, MN 55403-2530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria A Levin | Psychologist, Clinical | 15 Groveland Ter, Suite 205, Minneapolis, MN 55403-1154 | |
| Julia Davis | Psychologist, Clinical | 15 Groveland Terrace, Suite 202, Minneapolis, MN 55403-1154 | |
| Gregory J Dahl | Chiropractic | 1 Groveland Ter, Suite 202, Minneapolis, MN 55403-1174 | |
| Emily Samborn | Nurse Practitioner | 600 1st Ave N, Minneapolis, MN 55403-1400 | |
| Michael S Bold | Diagnostic Radiology | Mayo Clinic | 600 Hennepin Ave, Suite 350, Minneapolis, MN 55403-1816 |
| Aaron Hellem | Physical Therapy | Mayo Clinic | 600 Hennepin Ave, Suite 350, Minneapolis, MN 55403-1816 |
| Douglas A Collins | Diagnostic Radiology | Mayo Clinic | 600 Hennepin Ave, Suite 350, Minneapolis, MN 55403-1816 |
| Felix E Diehn | Diagnostic Radiology | Mayo Clinic | 600 Hennepin Ave, Suite 350, Minneapolis, MN 55403-1816 |
| Kara M Schwartz | Diagnostic Radiology | Mayo Clinic | 600 Hennepin Ave, Suite 350, Minneapolis, MN 55403-1816 |
| Carrie M Carr | Diagnostic Radiology | Mayo Clinic | 600 Hennepin Ave, Suite 350, Minneapolis, MN 55403-1816 |
| Find all physicians in zip 55403 | |||
| City | MINNEAPOLIS |
| Zip Code | 55403 |
| Specialty | OPTOMETRY |
| City + Specialty | MINNEAPOLIS + OPTOMETRY |
Please comment or provide details below to improve the information on Krystal Lee Long.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.