NPI 1013168038

Longe Optical

Organisation Durable Medical Equipment & Medical Supplies Merrillville, IN

Practice location

Address: 7211 Taft St, Merrillville, IN 46410-3731
Phone: (219) 769-6367
Fax: (219) 769-7362

Authorised official

Name: Michael Rotheker
Title: Owner
Phone: (219) 769-6367

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 119-20 (IN)

Other Durable Medical Equipment & Medical Supplies providers in Indiana →

Registry record

NPI: 1013168038
Entity type: Organization
NPI issued: 8 Oct 2008
Record last updated: 8 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.