Longe Optical-North Inc,

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LONGE OPTICAL-NORTH INC,

Practice address

4534 Maplecrest Rd
Fort Wayne, IN 46835-3970

Phone

(260) 486-4477

Fax

(260) 486-4533

NPI assigned

Sep 16, 2009

Organization subpart

Yes

Parent organization

LONGE OPTICALAs reported in NPPES

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

Authorized official

Name

Mrs. Tricia Ann Mayes

Title

Manager

Phone

(260) 486-4477

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Longe Optical North Inc3 organizations share this tax ID, including this one

Part of

Longe Optical North Inc

Other organizations with this tax ID 2

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

• Longe Optical

  • Eyewear Supplier
  • Kendallville, IN
  • NPI 1972836310
  NPD tax ID
• Longe Optical North Inc

  • Eyewear Supplier
  • Auburn, IN
  • NPI 1497088702
  NPD tax ID

Locations

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": "1881927317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 MAPLECREST RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353970",
            "telephone_number": "260-486-4477",
            "fax_number": "260-486-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 MAPLECREST RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353970",
            "telephone_number": "260-486-4477",
            "fax_number": "260-486-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGE OPTICAL-NORTH INC,",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONGE OPTICAL",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "260-486-4477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100173460G",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Gabrielle Looney, RBT

• 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.