Drjerry W Long Optometry
Optometrist · Poplar Bluff, MO
Practice location
213 N Broadway StPoplar Bluff, MO 63901-5135
- Phone
- (573) 785-8476
- Fax
- (573) 785-8477
NPI record
- NPI
- 1013305721
- Entity type
- Organization (Type 2)
- Enumeration date
- January 5, 2015
- Last updated
- January 5, 2015
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
T02229 | MO |
Authorized official
- Name
- Dr. Jerry W Long, OD
- Title
- Owner
- Phone
- (573) 785-8476
About Drjerry W Long Optometry
Drjerry W Long Optometry is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 213 N Broadway St, Poplar Bluff, MO 63901-5135. The NPI number 1013305721 was assigned on January 5, 2015 and the record was last updated on January 5, 2015.
Drjerry W Long Optometry lists a license in the registry: #T02229 (MO) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Jerry W Long, OD, Owner.
Frequently asked questions
What is the NPI number of Drjerry W Long Optometry?
The NPI number is 1013305721.
What is the phone number of Drjerry W Long Optometry?
The phone number listed for the practice location is (573) 785-8476.
Where is Drjerry W Long Optometry located?
213 N Broadway St, Poplar Bluff, MO 63901-5135.
What is the taxonomy code for Drjerry W Long Optometry?
The primary taxonomy code is 152W00000X – Optometrist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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