STEPHANIE C. LONG (OD) – Optometrist, NPI 1639588965
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for STEPHANIE C. LONG (OD)
10465 Saint Charles Rock Rd
Saint Ann, MO 630741829
Phone: (314) 423-2010
Fax: (314) 426-1957
Type: Location
9540 Manchester Rd
Saint Louis, MO 631191313
Phone: (314) 962-3830
Type: Location
8562 Eager Rd
Brentwood, MO 631441435
Phone: (314) 785-7272
Type: Location
10101 Gravois Rd
Affton, MO 631234025
Phone: (314) 282-9050
Type: Location
11433 Olive Blvd
Creve Coeur, MO 631417108
Phone: (314) 432-1134
Type: Location
917 Olive St
Saint Louis, MO 631011418
Phone: (314) 621-5303
Type: Location
12681 Dorsett Rd
Maryland Heights, MO 630432100
Phone: (314) 786-3800
Type: Location
211 E BROADWAY
ALTON, IL 620026220
Phone: (618) 462-9818
Fax: (314) 741-4947
Type: Mailing
10465 SAINT CHARLES ROCK RD
SAINT ANN, MO 630741829
Phone: (314) 423-2010
Fax: (314) 426-1957
Type: Location
6415 Chippewa St
Saint Louis, MO 631092104
Phone: (314) 457-1880
Type: Location
8658 Big Bend Blvd
Webster Groves, MO 631193839
Phone: (314) 968-4243
Type: Location
2185 S MASON RD
SAINT LOUIS, MO 631311640
Phone: (314) 821-5666
Type: Location
PO BOX 207158
DALLAS, TX 753207158
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $553.
Total Amount is formed as General ($553) + Research ($0) + Ownership ($0) = $553.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: CooperVision Inc. ($321).
Total Amount
$553
General + Research + Ownership
Payments
18
Total payment records
General Amount
$553
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $321 |
| Bausch & Lomb Americas Inc. | $176 |
| Alcon Vision LLC | $41 |
| BIOTISSUE HOLDINGS, INC. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-10-14
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141014002366 | I | Optometry | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 30 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 23 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 22 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 63074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| - | MO | |
| O P T O M E T R Y | MO | |
| - | MO | |
| - | CA | |
| O P T O M E T R Y | MN |
Reviews
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