Organization
JACQLYN E. LONG, OD, & ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQLYN E. LONG O.D. (PRESIDENT)
(314) 845-0770
Entity
Organization
Contact information
Practice address
5445 TELEGRAPH RD STE 119, SAINT LOUIS, MO 63129-3500
(314) 845-0770
(314) 845-0814
Mailing address
5445 TELEGRAPH RD STE 119, SAINT LOUIS, MO 63129-3500
(314) 845-0770
(314) 845-0814
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
07/25/2010
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