Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry Wayne Long, OD

Individual provider Optometrist · NPI 1144295197

Dr. Jerry Wayne Long, OD is an Optometrist in Poplar Bluff, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

213 N Broadway St
Poplar Bluff, MO 63901-5135
Phone: (573) 785-8476
Fax: (573) 785-8477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence T02229 (MO)

Record details

NPI number1144295197
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedFebruary 22, 2006
Last updated in NPPESJuly 3, 2014

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