REBECCA A. LONG

PORTAGE, IN
NPI1124168836
Other NameREBECCA A. LONG-GORDON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18002310A)
Additional Taxonomies152W00000X Optometrist
(Licence: IN  18002310B)
Enumeration Date2007-02-08
Last Update Date2017-02-15
Business Address
Dr. REBECCA A. LONG O.D.
6097 US HIGHWAY 6
PORTAGE, IN 46368-5215
Phone number: 219-763-1538
Mailing Address
Dr. REBECCA A. LONG O.D.
3303 CLAIRBORNE XING
VALPARAISO, IN 46385-2969
Phone number: 219-246-7807