DR. JERRY LONG, O.D
Optometrist
Active
Individual
NPI: 1144295197
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | T02229 (MO) |
Frequently Asked Questions
NPI 1144295197 is the National Provider Identifier for DR. JERRY LONG, O.D, a Optometrist provider located in Poplar Bluff, MO. This NPI was enumerated on February 22, 2006.
DR. JERRY LONG, O.D practices at 213 N BROADWAY ST, Poplar Bluff, MO 63901.
Quick Facts
- NPI
- 1144295197
- Type
- Individual
- Enumerated
- Feb 22, 2006
- Last Updated
- Jul 3, 2014
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