Organization
RONALD E. LONGENBAUGH O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD E. LONGENBAUGH O.D. (PRESIDENT)
(260) 244-6361
Entity
Organization
Contact information
Practice address
512 N LINE ST, COLUMBIA CITY, IN 46725-1230
(260) 244-6361
(260) 244-3067
Mailing address
512 N LINE ST, COLUMBIA CITY, IN 46725-1230
(260) 244-6361
(260) 244-3067
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002242A
IN
Other
Enumeration date
01/25/2007
Last updated
01/10/2008
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