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DR. JERRY WAYNE LONG O.D
NPI 1144295197
Optometrist in Poplar Bluff, MO

Active since February 22, 2006
213 N BROADWAY ST, POPLAR BLUFF, MO 63901(573) 785-8476(573) 785-8477 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jerry Wayne Long O.d NPPES

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

DR. JERRY WAYNE LONG O.D (NPI 1144295197) is an individual optometrist in Poplar Bluff, Missouri, licensed in Missouri (T02229) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1144295197
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JERRY WAYNE LONGCredential: O.D
Location Address213 N BROADWAY STPoplar Bluff, MO 63901-5135
Mailing Address213 N Broadway StPoplar Bluff, MO 63901-5135 · (573) 785-8476
Phone(573) 785-8476
Fax(573) 785-8477
Sole ProprietorYes
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJuly 3, 2014
✔ NPI 1144295197 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 5

Medicaid310038807MO
Medicaid500398706MO
Other000006948MO · Medicare P-tan
Other990001270MO · Group Number
Medicare UPINT42628MO

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 W LONG OPTOMETRY
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 Jerry Long's NPI number?

The NPI number for Jerry Long is 1144295197. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Jerry Long located?

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

What is Jerry Long'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 Jerry Long was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.