Whalio Doctors

NPI 1023353943

Longe Enterprises Corp

Organisation Eyewear Supplier Fort Wayne, IN

Practice location

Address
10240 Coldwater Rd, Fort Wayne, IN 46825-2035
Phone
(260) 497-8626

Authorised official

Name
Bruce Boxberger
Title
President
Phone
(260) 423-9411

Registered specialties

Eyewear Supplier Primary
Suppliers Taxonomy 332H00000X

Registry record

NPI
1023353943
Entity type
Organization
NPI issued
4 Dec 2012
Record last updated
17 Apr 2013

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.