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Active NPI 1144295197 Individual Practitioner Male Practitioner

Dr. Jerry Wayne Long , OD

Optometrist • Poplar Bluff, MO

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Long, OD is a registered healthcare professional specializing in Optometrist in Poplar Bluff, MO. Practice services are available at 213 N BROADWAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

213 N Broadway St

Poplar Bluff, MO 639015135

Telephone 5737858476
Fax 5737858477
Associated Practice Facility / Clinic
🏢 Dr Jerry W Long Optometry Facility NPI 1073719910

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Poplar Bluff, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Poplar Bluff, MO (1288 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MO T02229

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
310038807 (MO)
Medicaid State Provider ID
500398706 (MO)
Commercial Insurance / Payer ID Medicare P-Tan
000006948 (MO)
Commercial Insurance / Payer ID Group Number
990001270 (MO)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2014

Registered at 213 N BROADWAY ST, POPLAR BLUFF, MO 639015135 (Tel: 5737858476)

📍
Updated Business Mailing Address July 03, 2014

Registered at 213 N BROADWAY ST, POPLAR BLUFF, MO 639015135 (Tel: 5737858476)

👤
Provider Name / Credentials Updated July 03, 2014

Recorded as JERRY LONG, O.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2014

Optometrist (License #T02229 in MO)

🟢
Initial NPI Registration & Enumeration February 22, 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: 1144295197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2006
Last Update: July 03, 2014
Sole Proprietor: Yes

Mailing Address

213 N Broadway St

Poplar Bluff, MO 639015135

Phone: 5737858476

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.