Longe Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LONGE OPTICAL

Practice address

625 W North St
Kendallville, IN 46755-1009

Phone

(260) 347-1128

Fax

(260) 347-4948

NPI assigned

Sep 17, 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

Mrs. Martha C. Davenport

Title

Manager

Phone

(260) 347-1128

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 North Inc

  • Eyewear Supplier
  • Auburn, IN
  • NPI 1497088702
  NPD tax ID
• Longe Optical-North Inc,

  • Eyewear Supplier
  • Fort Wayne, IN
  • NPI 1881927317
  NPD tax ID

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1972836310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W NORTH ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551009",
            "telephone_number": "260-347-1128",
            "fax_number": "260-347-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W NORTH ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551009",
            "telephone_number": "260-347-1128",
            "fax_number": "260-347-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGE OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONGE OPTICAL NORTH INC.",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "260-347-1128",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100173460",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Levin, PT
• Craig Michael Lichlyter, O.D.
• Danielle Marie Likes
• Sarah Manjula Lobacz, MS, LMFT
• Longe Enterprises Corp
• Shaun Marshall Loveless, D.D.S.
• Candy Lucero-Palma, NP
• Elena Lugibihl
• Nancy Luna, BA
• John L Lutz, M.D.

• Eyewear Supplier in Kendallville, IN
• Providers in Kendallville, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.