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Active NPI 1992866057 Individual Practitioner Female Practitioner

Dr. Jacqlyn E Long , OD

Optometrist • Alton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacqlyn Long, OD is a certified Optometrist practicing in Alton, IL. With approximately 37 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 1989, Dr. Long delivers high-quality medical care to the local community at 211 E BROADWAY.

Dr. Long is affiliated with Nucrown, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

211 E Broadway

Alton, IL 620026220

Telephone 6184629818
Fax 3147414947
Associated Practice Facility / Clinic
🏢 Abba Eye Care Pc Facility NPI 1952301129

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Alton, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +12.8 yrs vs City Avg
City Avg: 24.2 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Alton, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Long (37 Years) 37 Yrs
Alton Specialty Average (24.2 Years) 24.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
14 14 $130.00 $35.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
12 12 $90.00 $55.55

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046-008207

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MO T02865

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
318096041 (MO)
Commercial Insurance / Payer ID Dmerc
0854830001

Hospital & Practice Group Affiliations

Nucrown, Llc

4145 Lindell Blvd, Saint Louis, MO 631082913

Phone: 3145331898

Nucrown, Llc

5694 Telegraph Rd, Saint Louis, MO 631294243

Phone: 3148464222

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1033973870
NPI 1154016848

Doctor of Optometry

NPI 1164427969

Doctor of Optometry

NPI 1407542582

Doctor of Optometry

NPI 1457079931

Doctor of Optometry

Nicole Graham

Optometrist

NPI 1528822376

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2015

Registered at 211 E BROADWAY, ALTON, IL 620026220 (Tel: 6184629818)

📍
Updated Business Mailing Address February 20, 2015

Registered at 8885 LADUE RD, SAINT LOUIS, MO 631242088 (Tel: 3147212720)

👤
Provider Name / Credentials Updated February 20, 2015

Recorded as JACQLYN LONG, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2015

Optometrist (License #046-008207 in IL)

🟢
Initial NPI Registration & Enumeration December 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992866057
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: February 20, 2015
Sole Proprietor: No

Mailing Address

8885 Ladue Rd

Saint Louis, MO 631242088

Phone: 3147212720

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.