| Dr Jerry Wayne Long, OD | |
|
213 N Broadway St, Poplar Bluff, MO 63901-5135 | |
| (573) 785-8476 | |
| (573) 785-8477 |
| Full Name | Dr Jerry Wayne Long |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 213 N Broadway St, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144295197 | NPI | - | NPPES |
| 310038807 | Medicaid | MO | |
| 000006948 | Other | MO | MEDICARE P-TAN |
| 500398706 | Medicaid | MO | |
| 990001270 | Other | MO | GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T02229 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry Wayne Long, OD 213 N Broadway St, Poplar Bluff, MO 63901-5135 Ph: (573) 785-8476 | Dr Jerry Wayne Long, OD 213 N Broadway St, Poplar Bluff, MO 63901-5135 Ph: (573) 785-8476 |
Dr. Kayla S Melton, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4303 | |
Drjerry W Long Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477 | |
Dr. Michael R. Penney Optometrist Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3061 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-1442 Fax: 573-776-6024 | |
Franklin Vision Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 333 S Westwood Blvd, Vision Center, Poplar Bluff, MO 63901 Phone: 409-617-9774 | |
Dr Jerry W Long Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477 | |
Tyler N Tinsley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Lucy Lee Pkwy Ste E, Poplar Bluff, MO 63901 Phone: 573-686-3991 Fax: 573-686-3992 |