Organization Active NPI

Longe Optical

  • Durable Medical Equipment & Medical Supplies
  • Merrillville, IN
National Provider Identifier
1013168038
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
119-20 Issued in IN
Legal business name
LONGE OPTICAL
Practice address
7211 Taft St
Merrillville, IN 46410-3731
Phone
(219) 769-6367
Fax
(219) 769-7362
NPI assigned
Oct 8, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mr. Michael RothekerNPI 1316935208
Title
Owner
Phone
(219) 769-6367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 119-20 IN Primary

Addresses

Primary practice location

7211 Taft St
Merrillville, IN 46410-3731

Mailing address

7211 Taft St
Merrillville, IN 46410-3731
Phone (219) 769-6367

National Provider Directory

National Provider Directory

Locations

7211 Taft St
Merrillville, IN 46410
Phone (219) 769-6367

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1013168038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 TAFT ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103731",
            "telephone_number": "219-769-6367",
            "fax_number": "219-769-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 TAFT ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103731",
            "telephone_number": "219-769-6367",
            "fax_number": "219-769-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "ROTHEKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-769-6367",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "119-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.