| NPI | 1548593072 |
|---|---|
| Doing Business As | LONGE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | BRENT BAIR Store Manager 260-432-8409 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-10-07 |