Dr Jerry W Long Optometry
Dr Jerry W Long Optometry is a healthcare organization registered as Optometrist in Poplar Bluff, MO, holding Type 2 (organization) NPI 1073719910 since 2007. The authorized official on file is Jerry Long, Owner Optomotrist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073719910 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dr Jerry W Long Optometry |
| Practice address | 213 N BROADWAY ST, Poplar Bluff, MO, 63901 |
| Phone | 5737858476 |
| Fax | 5737858477 |
| Enumeration date | 2007-06-26 |
| Last updated in NPPES | 2015-01-08 |
Authorized official
| Name | Jerry Long |
|---|---|
| Title | Owner Optomotrist |
| Phone | 5737858476 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | T02229 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500398706 | Medicaid | MO | — |
| 310038807 | Medicaid | MO | — |
Copy-ready billing details
Provider: Dr Jerry W Long Optometry NPI: 1073719910 Taxonomy: 152W00000X (Optometrist) Address: 213 N BROADWAY ST, Poplar Bluff, MO, 63901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144295197 | Jerry Long | Individual | Optometrist | Poplar Bluff, MO |
| 1013305721 | Drjerry W Long Optometry | Organization | Optometrist | Poplar Bluff, MO |
| 1497539886 | Bluff Home Care LLC | Organization | In Home Supportive Care Agency | Poplar Bluff, MO |
Verify this record
Cross-check NPI 1073719910 against the authoritative CMS record: view Dr Jerry W Long Optometry on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Dr Jerry W Long Optometry?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-01-08.