Longenecker

NPI #1821234097 in Granger, Indiana

Provider Information

NPI Number
1821234097
Entity Type
Organization
Organization Name
Longenecker
Subpart
Yes (part of a larger organization)
Parent Organization
LONGENECKER VISION & ASSOCIATES, P.C.
Primary Specialty
Optometrist
Enumeration Date
Dec 18, 2008
Last Updated
Dec 18, 2008

Practice Location

Address
215 E UNIVERSITY DR
Address 2
SUITE 150
State
Indiana
ZIP Code
46530-4000
Phone
(574) 272-3937

Authorized Official

Name
DR. JAMES FREDERICK LONGENECKER, O.D.
Title
PRESIDENT, LONGENECKER VISION & ASS
Phone
(574) 536-9867

Specialties & Taxonomy Codes

Specialty
Optometrist

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