Jacqlyn E Long is a Alton, Illinois based female Optometrist with 35 years of experience in Optometry. She completed her graduation from University Of Missouri St Louis - School Of Optometry in 1989. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jacqlyn E Long is 046-008207 for Optometry in Illinois. Jacqlyn E 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. She 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. She 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:
Jacqlyn E 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.
Experience:
35+ years
Medical School Attended:
University Of Missouri St Louis - School Of Optometry
Graduation Year:
1989
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
211 E Broadway, Alton, Illinois, 62002-6220
Phone:
618-462-9818
Fax:
314-741-4947
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.
PAC ID:
2365546421
Enrollment ID:
I20070329000081
NPI Number:
1992866057
NPI Enumeration Date:
13 Dec, 2006
NPI Last Update On:
20 Feb, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqlyn E Long are as mentioned below.
License Number
Specialization
State
Status
046-008207
Optometry
Illinois
Primary
T02865
Optometry
Missouri
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jacqlyn E Long has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Nucrown, Llc (1456256346)
25
Nucrown, Llc (1456256346)
25
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacqlyn E Long such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0854830001
Other
DMERC
318096041
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8885 Ladue Rd, Saint Louis, Missouri
Zip:
63124-2088
Phone Number:
314-721-2720
Fax Number:
314-725-2685
Patients can reach Jacqlyn E Long at 211 E Broadway, Alton, Illinois or can call to book an appointment on 618-462-9818. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.