Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQLYN E LONG, O.D.
ActiveJACQLYN E LONG, O.D. is a Optometrist healthcare provider located in ALTON, Illinois. NPI 1992866057 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ALTON, IL
Registration Details
- NPI Number
- 1992866057
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 13, 2006 (19.706403838384 yrs)
- Last Updated
- Feb 20, 2015
- Licenses
-
T02865 (MO)046-008207 (IL)
Practice Information
- Address
-
211 E BROADWAYALTON, IL, 620026220Browse IL providers · Browse ZIP 62002
- Phone
- 6184629818
- Fax
- 3147414947
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in ALTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTINA J. LEVI | O.D. | 1417924648 |
| DR. JAMES WALTER LIEBER | O.D. | 1184731515 |
| DR. WILLIAM KEVIN WRIGHT | O.D. | 1790894673 |
| DR. JUSTIN SCHEITER | O.D. | 1699809368 |
| DR. DUYEN C XIN | OD | 1871871657 |
| JONATHAN MICHAEL KLUNK | OD | 1306546916 |
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.