Longe Optical

LBN: Longe Optical
Longe Optical is an health care organization with primary practice located at 625 W North St , Kendallville IN 46755-1009. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Longe Optical can be contacted via phone (260) 347-1128, or through Davenport, Martha C. via phone (260) 347-1128.

Contact Information

Primary practice address
625 W North St Kendallville IN 46755-1009
Phone: (260) 347-1128
Fax: (260) 347-4948
Website:
Map and Directions
Authorized official contact:
Name: Davenport, Martha C.
Phone: (260) 347-1128

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X Indiana

Profile Details

NPI number 1972836310
LBN Legal business name Longe Optical
DBA Doing business as
Authorized official Davenport, Martha C.
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 17th, 2009
Last updated Sep 17th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972836310 NPPES
Indiana MEDICAID 100173460

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