IndividualActive
Susan Long
NPI 1326104787 · Optician · Gallup, NM
Provider details
- NPI number
- 1326104787
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 03-037772-00-2 (NM)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1300 W I-40 Frontage Rd Ste 322
Gallup, NM 87301-3323
Phone: (505) 722-3030
Fax: (505) 722-0367
Approximate (ZIP-level) locationGet directions
Mailing address
1300 W I-40 Frontage Rd Ste 322
Gallup, NM 87301-3323
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.