institution
James A. Long, Ii O.d. Inc
Eyewear Supplier in Fort Wayne, Indiana
NPI 1871726562

James A. Long, Ii O.d. Inc is a Eyewear Supplier based in Fort Wayne, IN. James A. Long, Ii O.d. Inc practices in Fort Wayne, IN. The NPI Number for James A. Long, Ii O.d. Inc is 1871726562 and holds a License No. 18001507 (Indiana).

The current practice location address for James A. Long, Ii O.d. Inc is 1221 Medical Park Dr, Fort Wayne, IN and can be reached out via phone at 260-484-2720 and via fax at 260-471-3488. You can also correspond with James A. Long, Ii O.d. Inc through the mailing address at 1221 MEDICAL PARK DR, FORT WAYNE, IN - 46825-5887 (mailing address contact number: 260-448-4272).

Location: 1221 Medical Park Dr, Fort Wayne, IN, 46825-5887
institution
Provider Profile Details
NPI Number
1871726562
Provider Name
James A. Long, Ii O.d. Inc
Credential
Provider Entity Type
Organization
Address
1221 Medical Park Dr, Fort Wayne, IN, 46825-5887
Phone Number
260-484-2720
Fax Number
260-471-3488
Provider Enumeration Date
08/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100280880A 05 IN
institution
Provider Business Practice Location Address Details
Address
1221 Medical Park Dr
City
State
Zip
46825-5887
Phone Number
260-484-2720
Fax Number
260-471-3488
person
Provider Business Mailing Address Details
Address
1221 Medical Park Dr
City
State
Zip
46825-5887
Phone Number
260-448-4272
Fax Number
260-471-3488
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
18001507 (Indiana)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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