NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Jerry Wayne Long, O.D

Optometrist in Poplar Bluff, MO · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144295197

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Registry record

Entity type Individual (Type 1)
Name Dr. Jerry Wayne Long
Credential O.D
Sex Male
Practice address Poplar Bluff, MO, 63901
Phone (573) 785-8476
Fax (573) 785-8477
Enumeration date Feb 22, 2006
Last updated in NPPES Jul 3, 2014

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License T02229 (MO) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
310038807 Medicaid MO -
000006948 Other MO MEDICARE P-TAN
500398706 Medicaid MO -
990001270 Other MO GROUP NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Jerry Long?
Jerry Long is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-03.