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Dr Jerry W Long Optometry

Optometrist in Poplar Bluff, MO · enumerated 2007 · authorized official Jerry Long, Owner Optomotrist.

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

National Provider Identifier

1073719910

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Registry record

Entity type Organization (Type 2)
Legal business name Dr Jerry W Long Optometry
Practice address 213 N Broadway St, Poplar Bluff, MO, 63901
Phone (573) 785-8476
Fax (573) 785-8477
Enumeration date Jun 26, 2007
Last updated in NPPES Jan 8, 2015

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License T02229 (MO) Primary

Authorized official

Name Jerry Long
Title Owner Optomotrist
Phone (573) 785-8476

Other identifiers

Identifier Type State Issuer
500398706 Medicaid MO -
310038807 Medicaid MO -

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Dr Jerry W Long Optometry?
Dr Jerry W Long Optometry is registered in NPPES as a Optometrist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-08.