NPI | 1972848018 |
---|---|
Doing Business As | LONGE OPTICAL |
Entity Type | Organization |
Authorized Contact | CARRIE TRUEX Insurance Specialist 260-484-0615 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2012-11-30 |
Last Update Date | 2018-11-15 |