Drjerry W Long Optometry
Drjerry W Long Optometry is an Optometrist in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2015.
- Licensed in
- MO
- In the registry since
- 2015
Practice location Address checks out
213 N Broadway StPoplar 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 number | 1013305721 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Long — Owner · (573) 785-8476 |
| NPI enumerated | January 5, 2015 |
| Last updated in NPPES | January 5, 2015 |
| Mailing address | 213 N Broadway St, Poplar Bluff, MO 63901-5135 |
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