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DR JERRY W LONG OPTOMETRY
NPI 1073719910
Optometrist in Poplar Bluff, MO

Active since June 26, 2007
213 N BROADWAY ST, POPLAR BLUFF, MO 63901(573) 785-8476(573) 785-8477 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr Jerry W Long Optometry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR JERRY W LONG OPTOMETRY (NPI 1073719910) is a healthcare organization registered as an optometrist in Poplar Bluff, Missouri and active in the NPI registry since June 2007. The organization lists Jerry Wayne Long, Owner Optomotrist, as its authorized official.

NPPES Registry Identity

NPI1073719910
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDR JERRY W LONG OPTOMETRY
Location Address213 N BROADWAY STPoplar Bluff, MO 63901-5135
Mailing Address213 N Broadway StPoplar Bluff, MO 63901-5135 · (573) 785-8476 · Fax (573) 785-8477
Phone(573) 785-8476
Fax(573) 785-8477
Organization SubpartNo
Authorized OfficialJerry Wayne LongOwner Optomotrist · (573) 785-8476
Enumeration DateJune 26, 2007
Last NPPES UpdateJanuary 8, 2015
✔ NPI 1073719910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · T02229
Definition
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.
213 N BROADWAY ST, Poplar Bluff, MO 63901
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Other Identifiers 6

Medicaid500398706MO
Medicare NSC0225140001MO
Medicare ID-Type Unspecified990001270MO · Group Number
Medicare ID-Type Unspecified000006948MO · Dr. Long's Provider #
Medicare UPINT42628MO
Medicaid310038807MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRJERRY W LONG OPTOMETRY
Optometrist
213 N BROADWAY ST
POPLAR BLUFF, MO 63901
Butler County (573) 785-8476
DR. JERRY WAYNE LONG O.D
Optometrist
213 N BROADWAY ST
POPLAR BLUFF, MO 63901
Butler County (573) 785-8476
BLUFF HOME CARE LLC
In Home Supportive Care
213 N BROADWAY ST
POPLAR BLUFF, MO 63901
Butler County (573) 300-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Jerry W Long Optometry's NPI number?

The NPI number for Dr Jerry W Long Optometry is 1073719910. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is Dr Jerry W Long Optometry located?

Dr Jerry W Long Optometry is located at 213 N Broadway St, Poplar Bluff, MO 63901. The listed phone number is (573) 785-8476.

What is Dr Jerry W Long Optometry's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Dr Jerry W Long Optometry was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.