Organization
LONG FAMILY EYE CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA S LONG O.D. (SECRETARY)
(812) 332-5090
Entity
Organization
Contact information
Practice address
660 S COLLEGE AVE, BLOOMINGTON, IN 47403-2527
(812) 332-5090
(812) 332-5092
Mailing address
660 S COLLEGE AVE, BLOOMINGTON, IN 47403-2527
(812) 332-5090
(812) 332-5092
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18002828B
IN
152W00000X
Optometrist
Primary
18002841B
IN
Other
Enumeration date
07/11/2007
Last updated
12/01/2008
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