IndividualActive
Alfred Long, OD
NPI 1891876462 · Optometrist · Marietta, GA
Provider details
- NPI number
- 1891876462
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1218 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2645 Dallas Hwy
Suite 100
Marietta, GA 30064
Phone: (770) 422-8002
Fax: (770) 422-4618
Approximate (ZIP-level) locationGet directions
Mailing address
2645 Dallas Hwy
Marietta, GA 30064
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2019-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.