Jacqlyn E. Long, OD, & Associates, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JACQLYN E. LONG, OD, & ASSOCIATES, PC

Practice address

5445 Telegraph Rd Ste 119
Saint Louis, MO 63129-3500

Phone

(314) 845-0770

Fax

(314) 845-0814

NPI assigned

Dec 20, 2006

Last updated

Jul 25, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jacqlyn E. Long, O.D.

Title

President

Phone

(314) 845-0770

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280016000000",
    "number": "1598829970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 TELEGRAPH RD STE 119",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293500",
            "telephone_number": "314-845-0770",
            "fax_number": "314-845-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 TELEGRAPH RD STE 119",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293500",
            "telephone_number": "314-845-0770",
            "fax_number": "314-845-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQLYN E. LONG, OD, & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-07-25",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JACQLYN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-845-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Scott Jacobson, DMD
• Brittany Jacobson, PH.D.
• Denise M Jacobson
• Jennifer Marie Jacobson, MD
• Meagan Anne Jacoby, MD
• Jacqueline Sell LCSW
• Jacquelyn B. Garrett, M.D.
• Kevin Jacques Sr., LCSW
• Therese Jacques
• Cameron Allen Jadali, DPT

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.