Longe Optical North Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LONGE OPTICAL NORTH INC.

Practice address

10240 Coldwater Rd
Fort Wayne, IN 46825-2035

Phone

(260) 497-8626

Fax

(260) 484-8486

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Larry R Kensill

Title

President

Phone

(260) 484-2691

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1992039929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 COLDWATER RD.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-484-2691",
            "fax_number": "260-484-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252035",
            "telephone_number": "260-497-8626",
            "fax_number": "260-484-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGE OPTICAL NORTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "KENSILL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-484-2691",
        "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": "100173460F",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Longe Enterprises Corp
• 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

• 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.