NPIMap

Organization Active NPI

Longe Enterprises Corp

Doing business as Longe Optical

  • Eyewear Supplier
  • Fort Wayne, IN
National Provider Identifier
1083294532
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
LONGE ENTERPRISES CORP
Doing business as
Longe Optical
Practice address
6413 Lima Rd
Fort Wayne, IN 46818-1423
Phone
(765) 617-1890
Fax
(260) 201-9194
NPI assigned
Apr 9, 2021
Last updated
Apr 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Carrie M Truex
Title
Insurance Specialist
Phone
(260) 484-2691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

6413 Lima Rd
Fort Wayne, IN 46818-1423

Mailing address

3409 N Anthony Blvd
Fort Wayne, IN 46805-2283
Phone (765) 617-1890

Other names 1

  • Longe Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Longe Enterprises Corp7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6413 Lima Rd
Fort Wayne, IN 46818
Phone (260) 275-5082

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1083294532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 N ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468052283",
            "telephone_number": "765-617-1890",
            "fax_number": "260-201-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6413 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181423",
            "telephone_number": "765-617-1890",
            "fax_number": "260-201-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGE ENTERPRISES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "TRUEX",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "260-484-2691"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longe Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.