Jerry Long, O.D

NPI 1144295197 · on the registry since 2006 · sole proprietor

Practice

Address: 213 N Broadway St
Poplar Bluff, MO 63901
Phone: (573) 785-8476
Fax: (573) 785-8477
Organisation at this address: Bluff Home Care Llc
Drjerry W Long Optometry
Dr Jerry W Long Optometry
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-07-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri