Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1487720827 Deactivated / Inactive NPI Male Practitioner

Dr. James Albert Long , OD

Optometrist • Fort Wayne, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Long has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 28, 2006
NPI Deactivation Date August 02, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. James Long, OD was a registered Optometrist practicing in Fort Wayne, IN. Throughout an active medical career spanning 17 years, Dr. Long provided care at the practice location at 1221 MEDICAL PARK DR until profile deactivation on 2023-08-02.

Practice Location & Contact Primary Location

Practice Address

1221 Medical Park Dr

Fort Wayne, IN 468255827

Telephone 2604842720
Fax 2604713488
Associated Practice Facility / Clinic
🏢 James A. Long, Ii O.d. Inc Facility NPI 1871726562

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.6 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
108 Specialists

Practicing in Fort Wayne, IN (1644 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 1507

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1295859528

Doctor of Optometry

NPI 1609283258

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 02, 2023

Record deactivated on August 02, 2023

NPI Profile Active November 14, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 14, 2011

Registered at 1221 MEDICAL PARK DR, FORT WAYNE, IN 468255827 (Tel: 2604842720)

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Updated Business Mailing Address November 14, 2011

Registered at 1221 MEDICAL PARK DR, FORT WAYNE, IN 468255827

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Provider Name / Credentials Updated November 14, 2011

Recorded as JAMES LONG, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2011

Optometrist (License #1507 in IN)

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Initial NPI Registration & Enumeration November 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487720827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2006
Last Update: November 14, 2011
Deactivation Date: August 02, 2023

Mailing Address

1221 Medical Park Dr

Fort Wayne, IN 468255827

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.