Organization
LONGE OPTICAL NORTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBY L QUARRY (MANAGER)
(260) 925-5944
Entity
Organization
Contact information
Practice address
650 N GRANDSTAFF DR, AUBURN, IN 46706-1661
(260) 925-5944
(260) 925-5944
Mailing address
650 N GRANDSTAFF DR, AUBURN, IN 46706-1661
(260) 925-5944
(260) 925-5944
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100173460D
—
IN
Enumeration date
09/18/2009
Last updated
09/18/2009
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