National Provider Identifier
Mitchell Long
Mitchell Long is listed in the NPPES registry with a primary specialty of Optician in Orchard Park, NY and a listed phone number of (716) 906-2600.
Profile Overview
- NPI
- 1811708365
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- January 15, 2025
- Last Updated
- January 22, 2025
Practice Location
- 3712 Southwestern Blvd
- Orchard Park, NY 14127-1720
Phone: (716) 906-2600
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1811708365
- Entity Type
- Individual
- Last Name
- Long
- First Name
- Mitchell
- Mailing Street Address
- 3712 Southwestern Blvd
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1720
- Mailing Country
- US
- Mailing Phone
- (716) 906-2600
- Practice Street Address
- 3712 Southwestern Blvd
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1720
- Practice Country
- US
- Practice Phone
- (716) 906-2600
- Enumeration Date
- January 15, 2025
- Last Updated
- January 22, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 22, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)