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Dr. Jerry Wayne Long, OD
Optometrist in Poplar Bluff, Missouri
NPI 1144295197

Jerry Wayne Long is a Optometrist based in Poplar Bluff, MO. Jerry Wayne Long practices in Poplar Bluff, MO and has the professional credentials of OD. The NPI Number for Jerry Wayne Long is 1144295197 and holds a License No. T02229 (Missouri).

The current practice location address for Jerry Wayne Long is 213 N Broadway St, Poplar Bluff, MO and can be reached out via phone at 573-785-8476 and via fax at 573-785-8477.

Location: 213 N Broadway St, Poplar Bluff, MO, 63901-5135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144295197
Provider Name
Jerry Wayne Long
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
213 N Broadway St, Poplar Bluff, MO, 63901-5135
Phone Number
573-785-8476
Fax Number
573-785-8477
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
310038807 05 MO
000006948 01 MO MEDICARE P-TAN
500398706 05 MO
990001270 01 MO GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
213 N Broadway St
City
Poplar Bluff
State
Missouri
Zip
63901-5135
Phone Number
573-785-8476
Fax Number
573-785-8477
person
Provider Business Mailing Address Details
Address
213 N Broadway St
City
Poplar Bluff
State
Missouri
Zip
63901-5135
Phone Number
573-785-8476
Fax Number
573-785-8477
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
T02229 (Missouri)
Definition
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.
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