Longenecker

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001765B Issued in IN

Legal business name

LONGENECKER

Practice address

215 E University Dr
Suite 150
Granger, IN 46530-4000

Phone

(574) 272-3937

NPI assigned

Dec 18, 2008

Organization subpart

Yes

Parent organization

LONGENECKER VISION & ASSOCIATES, P.C.As reported in NPPES

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

Authorized official

Name

Dr. James Frederick Longenecker, O.D.

Title

President, Longenecker Vision & Ass

Phone

(574) 536-9867

Specialties & licenses 1

Addresses

Part of

Longenecker

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1821234097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25508 COUNTY ROAD 126",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465179188",
            "telephone_number": "574-536-9867",
            "fax_number": "574-875-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E UNIVERSITY DR",
            "address_2": "SUITE 150",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304000",
            "telephone_number": "574-272-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGENECKER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONGENECKER VISION & ASSOCIATES, P.C.",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "LONGENECKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT, LONGENECKER VISION & ASS",
        "authorized_official_telephone_number": "574-536-9867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001765B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Legg
• Michele Wilbrandt Lehmann, PHARM.D., RPH
• Bridgette Nicole Leroy, DNP, FNP-BC
• Roxanne Lewellen
• Kelli Lo, LSW
• Manuel Lopez, DDS
• Sandra Lee Lovely, LCSW
• Julie Amber Lovisa, RD, CD
• Luminary Hospice of South Bend, LLC
• Fred Luster, MPT

• Optometrist in Granger, IN
• Providers in Granger, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.