Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY WAYNE LONG, O.D
Active Sole ProprietorDR. JERRY WAYNE LONG, O.D is a Optometrist healthcare provider located in POPLAR BLUFF, Missouri. NPI 1144295197 is currently active in the NPPES registry. Verify at CMS.
Optometrist · POPLAR BLUFF, MO
Registration Details
- NPI Number
- 1144295197
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2006 (20.467677677197 yrs)
- Last Updated
- Jul 3, 2014
- License
-
T02229 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
213 N BROADWAY STPOPLAR BLUFF, MO, 639015135Browse MO providers · Browse ZIP 63901
- Phone
- 5737858476
- Fax
- 5737858477
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in POPLAR BLUFF, MO
| Name | Credential | NPI |
|---|---|---|
| JIMMY H ELAM | OD | 1194718379 |
| MICHAEL BILLINGS | O.D. | 1164419354 |
| PAUL VARNER | — | 1629052550 |
| TYLER N TINSLEY | OD | 1114996220 |
| DR. KAYLA S MELTON | O.D. | 1003867243 |
| TIMOTHY BLANKENSHIP | O.D. | 1164440368 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.