LONGENECKER (NPI# 1821234097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821234097 |
| Entity Type | Organization |
| Organization Name | LONGENECKER |
| Practice Address |
215 E University Dr Suite 150 Granger IN 46530-4000 |
| Mailing Address |
25508 County Road 126 Elkhart IN 46517-9188 |
| Practice Telephone | 5742723937 |
| Mailing Telephone | 5745369867 |
| Mailing Fax Number | 5748757096 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |
| Authorized Official Name | DR. JAMES FREDERICK LONGENECKER (PRESIDENT, LONGENECKER VISION & ASS) |
| Authorized Official Telephone | 5745369867 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | LONGENECKER VISION & ASSOCIATES, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18001765B | IN | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LONGENECKER & ASSOCIATES, INC. | 2514 Red Arrow Dr, Las Vegas, NV 89135-1627 |
| Indiana Business Entities | LONGENECKER CONSTRUCTION, INC. | 5185 N 200 W, Warsaw, IN 46580 |
| Indiana Business Entities | LONGENECKER CUSTOM HOMES, INC. | 148 North Otten Road, Rossville, IN 46065 |
| New York State Corporations | LONGENECKER DIVE COMPANY LLC | 25 Clinton Street, Babylon, Ny 11702 |
| Colorado Business Entities | LONGENECKER ENTERPRISES INC | 7595 California Drive, Colorado Springs, CO 80923-4215 |
| Virginia Business Entities | Longenecker Excavation Inc. | 2461 Tolers Ferry Rd, Huddleston, Virginia 24104 |
| Iowa Business Entities | LONGENECKER FAMILY TRUST , LLC | 6000 Grand Ave, Des Moines, IA 50312 |
| Iowa Business Entities | LONGENECKER FINANCIAL SERVICES, L.L.C. | 6000 Grand Ave, Des Moines, IA 50312 |
| Iowa Business Entities | LONGENECKER L.L.C. | 6000 Grand Ave, Des Moines, IA 50312 |
| Virginia Business Entities | Longenecker Realty LLC | 11610 Leesburg Pike, Herndon, Virginia 20170-2101 |
| Street Address |
215 E UNIVERSITY DR SUITE 150 |
| City | GRANGER |
| State | IN |
| Zip Code | 46530-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033517966 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 215 E University Dr, Suite 150, Granger, IN 46530-4000 | 2014-12-09 |
| 1891932067 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 215 E University Dr, Suite 150, Granger, IN 46530-4000 | 2009-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
| 1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
| 1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
| 1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
| 1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
| 1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| Find all providers in zip 46530 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053698068 | Julie Batuk Ramolia | Optometrist | 115 E University Dr, Granger, IN 46530-4474 | 2011-11-05 |
| 1366586505 | Wade Eye Associates, Inc. | Optometrist | 50600 Woodbury Way, Granger, IN 46530-6902 | 2007-02-19 |
| 1124162607 | Karen Ann Pugh | Optometrist | 12479 State Road 23, Ste E, Granger, IN 46530-8040 | 2007-02-16 |
| 1285788745 | Geoffrey Allen Heddle | Optometrist | 215 E University Dr Ste 150, Granger, IN 46530-4026 | 2007-01-22 |
| 1225120603 | Marc E Parker | Optometrist | 51663 Stoneham Way, Granger, IN 46530-8495 | 2006-09-29 |
| 1336146497 | Tara Lynn Svatos | Optometrist | 13197 State Road 23, Granger, IN 46530 | 2005-07-05 |
| 1043827660 | Hedgeye Optometrist PC | Optometrist | 215 E University Dr Ste 150, Granger, IN 46530-4026 | 2020-09-28 |
| 1548746449 | Patrick William Graves | Optometrist | 215 E University Dr Ste 150, Granger, IN 46530-4026 | 2018-07-13 |
| 1124478581 | Michael Dewit | Optometrist | 13197 State Road 23, Granger, IN 46530 | 2016-06-16 |
| 1861882797 | Midwest Eye Consultants, P.C. | Optometrist | 13197 State Road 23, Granger, IN 46530-9225 | 2015-01-30 |
| Find all providers in GRANGER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.