| NPI | 1356686273 |
|---|---|
| Doing Business As | LONGE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | BRUCE BOXBERGER President 260-423-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2013-04-17 |