OrganizationActive
Dr Jerry W Long Optometry
NPI 1073719910 · Optometrist · Poplar Bluff, MO
Dr Jerry W Long Optometry is a Optometrist organization in Poplar Bluff, MO (NPI 1073719910).
Provider details
- NPI number
- 1073719910
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jerry Long, Owner Optomotrist(573) 785-8476
- License
- T02229 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
213 N Broadway St
Poplar Bluff, MO 63901-5135
Phone: (573) 785-8476
Fax: (573) 785-8477
Street-level locationGet directions
Mailing address
213 N Broadway St
Poplar Bluff, MO 63901-5135
Registry dates
- Enumerated
- 2007-06-26
- Last updated
- 2015-01-08
Frequently asked questions
- What is Dr Jerry W Long Optometry's NPI number?
- Dr Jerry W Long Optometry's National Provider Identifier (NPI) is 1073719910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Jerry W Long Optometry?
- Dr Jerry W Long Optometry is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Dr Jerry W Long Optometry located?
- Dr Jerry W Long Optometry's practice location on file with NPPES is 213 N Broadway St, Poplar Bluff, MO 63901-5135.
- What is Dr Jerry W Long Optometry's phone number?
- The practice phone number listed in the NPPES registry for Dr Jerry W Long Optometry is (573) 785-8476.
- Who is the authorized official for Dr Jerry W Long Optometry?
- The authorized official listed on Dr Jerry W Long Optometry's NPPES record is Jerry Long, Owner Optomotrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Jerry W Long Optometry's NPI active?
- Yes — Dr Jerry W Long Optometry's NPI (1073719910) is active in the NPPES registry as of the last update on 2015-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.