Longe Optical- North Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LONGE OPTICAL- NORTH INC.

Doing business as

Longe Optical

Practice address

5721 Coventry LN
Fort Wayne, IN 46804-7146

Phone

(260) 432-8409

Fax

(260) 432-8506

NPI assigned

Sep 16, 2009

Organization subpart

Yes

Parent organization

LONGE OPTICAL- NORTH INC.As reported in NPPES

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

Authorized official

Name

Mr. Brent Bair

Title

Store Manager

Phone

(260) 432-8409

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Longe Optical Doing business as

Part of

Longe Optical North Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Joseph Pataluch, O.D.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1235293903
  NPD (past)

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1548593072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 COVENTRY LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047146",
            "telephone_number": "260-432-8409",
            "fax_number": "260-432-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 COVENTRY LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047146",
            "telephone_number": "260-432-8409",
            "fax_number": "260-432-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGE OPTICAL- NORTH INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONGE OPTICAL- NORTH INC.",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "BAIR",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "STORE MANAGER",
        "authorized_official_telephone_number": "260-432-8409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100173460C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longe Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Longe Enterprises Corp
• Longe Enterprises Corp
• Longe Optical
• Longe Optical Inc
• Longe Optical North Inc.
• Longe Optical-North Inc,
• Andrew Longmate, PHARMD
• Maria Longoria
• Janet Lonsway
• Brianna Looney

• Eyewear Supplier in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.