Organization
LONGE ENTERPRISES CORP
Active
Other names
Longe Optical
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BOXBERGER (PRESIDENT)
(260) 423-9411
Entity
Organization
Contact information
Practice address
3409 N ANTHONY BLVD, FORT WAYNE, IN 46805-2233
(260) 484-2691
Mailing address
3409 N ANTHONY BLVD, FORT WAYNE, IN 46805-2233
(260) 484-2691
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
04/17/2013
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