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

Jacqlyn E Long, OD

Individual provider Optometrist · NPI 1992866057

Jacqlyn E Long, OD is an Optometry in Alton, Illinois. Graduated from University of Missouri St Louis - School of Optometry in 1989, 37 years ago. Practices with Nucrown, LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
37
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
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

211 E Broadway
Alton, IL 62002-6220
Phone: (618) 462-9818
Fax: (314) 741-4947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046-008207 (IL)
Optometrist Taxonomy 152W00000X · Licence T02865 (MO)

Record details

NPI number1992866057
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESFebruary 20, 2015
Mailing address8885 Ladue Rd, Saint Louis, MO 63124-2088

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 1989 (37 years in practice)
Group practice Nucrown, Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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