DR. Rebecca A. Long, O.D.

NPI #1124168836 in Portage, Indiana

Provider Information

NPI Number: 1124168836
Entity Type: Individual
Name: DR. Rebecca A. Long, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 8, 2007
Last Updated: Feb 15, 2017

Practice Location

Address: 6097 US HIGHWAY 6
City: Portage
State: Indiana
ZIP Code: 46368-5215
Phone: (219) 763-1538

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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