What is Jerry Long's NPI number?

Jerry Long's National Provider Identifier (NPI) is 1144295197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jerry Long's specialty?

Jerry Long is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Jerry Long located?

Jerry Long's practice location on file with NPPES is 213 N Broadway St, Poplar Bluff, MO 63901-5135.

What is Jerry Long's phone number?

The practice phone number listed in the NPPES registry for Jerry Long is (573) 785-8476.

Is Jerry Long's NPI active?

Yes — Jerry Long's NPI (1144295197) is active in the NPPES registry as of the last update on 2014-07-03.

IndividualActive

Jerry Long, O.D

NPI 1144295197 · Optometrist · Poplar Bluff, MO

Jerry Long, O.D is a Optometrist provider in Poplar Bluff, MO (NPI 1144295197).

Provider details

NPI number: 1144295197
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D
Sex: Male
Sole proprietor: Yes
License: T02229 (MO)

Specialties & taxonomies

OptometristPrimary152W00000XLicense T02229 (MO)
Eye and Vision Services Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 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

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Mailing address