James Longenecker, O.D

NPI 1154462711 · on the registry since 2007 · sole proprietor

Practice

Address: 4123 S Michigan St
South Bend, IN 46614
Phone: (574) 291-8900
Fax: (574) 299-8503
Organisation at this address: Christopher J. Wolf, Od, Inc
Northern Indiana Optometrists, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana