Organization
LONGENECKER
Active
Parent organization
LONGENECKER VISION & ASSOCIATES, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONGENECKER VISION & ASSOCIATES, P.C.
Authorized official
DR. JAMES FREDERICK LONGENECKER O.D. (PRESIDENT, LONGENECKER VISION & ASS)
(574) 536-9867
Entity
Organization
Contact information
Practice address
215 E UNIVERSITY DR, SUITE 150, GRANGER, IN 46530-4000
(574) 272-3937
Mailing address
25508 COUNTY ROAD 126, ELKHART, IN 46517-9188
(574) 536-9867
(574) 875-7096
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001765B
IN
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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