Longe Optical INC

NPI #1396798963 in Ft Wayne, Indiana

Provider Information

NPI Number: 1396798963
Entity Type: Organization
Organization Name: Longe Optical INC
Primary Specialty: Eyewear Supplier
Enumeration Date: May 18, 2006
Last Updated: Jan 28, 2011

Practice Location

Address: 3409 N ANTHONY BLVD
City: Ft Wayne
State: Indiana
ZIP Code: 46805
Phone: (260) 484-2691

Authorized Official

Name: MRS. MARTHA C DAVENPORT
Title: OFFICE MANAGER
Phone: (260) 347-1128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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