DR. JERRY WAYNE LONG (O.D) – Optometrist, NPI 1144295197

DR. JERRY WAYNE LONG (O.D) is a healthcare provider. based in Poplar bluff, Missouri. specializing in Optometrist. They hold the professional credentials O.D. They hold a License No. T02229 (MO). The NPI Number for DR. JERRY WAYNE LONG (O.D) is 1144295197

Main info

Male
Sole Proprietor
Name
DR. JERRY WAYNE LONG (O.D)
NPI
1144295197
Phone
(573) 785-8476
Address
213 N BROADWAY ST
Enumeration Date
22 February 2006
Last Update Date
3 July 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JERRY WAYNE LONG (O.D)

  • 213, North Broadway Street, Kelly Town, Poplar Bluff, Butler County, Missouri, 63901, United States

    POPLAR BLUFF, MO 639015135

    Phone: (573) 785-8476

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63901)

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Frequently asked questions

What is the 10-digit NPI for DR. JERRY WAYNE LONG (O.D)?
DR. JERRY WAYNE LONG (O.D) — NPI 1144295197 — is the standard way to identify this listing.
Is DR. JERRY WAYNE LONG (O.D) listed as active for patients and plans?
The listing shows DR. JERRY WAYNE LONG (O.D) as active in the NPI system.
What is DR. JERRY WAYNE LONG (O.D) best known for clinically?
Directory data describes DR. JERRY WAYNE LONG (O.D) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JERRY WAYNE LONG (O.D)?
DR. JERRY WAYNE LONG (O.D)'s geographic hint is Poplar Bluff, Missouri in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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