Dr. Jerry Wayne Long is a Poplar Bluff, Missouri based male Optometrist who is specialized in Optometry. Active license number of Dr. Jerry Wayne Long is T02229 for Optometry in Missouri. Dr. Jerry Wayne Long 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Jerry Wayne Long speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D
Gender:
Male
Practice Address:
213 N Broadway St, Poplar Bluff, Missouri, 63901-5135
Phone:
573-785-8476
Fax:
573-785-8477
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1144295197
NPI Enumeration Date:
22 Feb, 2006
NPI Last Update On:
03 Jul, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jerry Wayne Long are as mentioned below.
License Number
Specialization
State
Status
T02229
Optometry
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jerry Wayne Long such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
310038807
Medicaid
Missouri
000006948
Other
Missouri
MEDICARE P-TAN
500398706
Medicaid
Missouri
990001270
Other
Missouri
GROUP NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
213 N Broadway St, Poplar Bluff, Missouri
Zip:
63901-5135
Phone Number:
573-785-8476
Fax Number:
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Patients can reach Dr. Jerry Wayne Long at 213 N Broadway St, Poplar Bluff, Missouri or can call to book an appointment on 573-785-8476. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.