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Search › Mississippi › 152W00000X

Jacob Long, O.D

NPI 1710329156 · on the registry since 2013 · sole proprietor

Practice

Address
2202 Hwy 82 West
Greenwood, MS 38930
Phone
(662) 609-6402
Organisation at this address
Manning Eye Care Llc
Greenwood Eye Care, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-26

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 Mississippi