| NPI | 1619271996 |
|---|---|
| Doing Business As | DBA LONGE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | JAN RICHARD FERRIS Owner President O PT Ometrist 517-789-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 152W00000X) |
| Enumeration Date | 2010-12-31 |
| Last Update Date | 2010-12-31 |