National Provider Identifier

Thomas Patrick Longwell, OPTICIAN

Thomas Patrick Longwell, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Rochester, NY and a listed phone number of (607) 731-4941.

NPI 1780874859Rochester, NYOptician

Profile Overview

NPI
1780874859
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
July 25, 2007
Last Updated
September 14, 2010

Practice Location

  • 1644 Monroe Ave
  • Rochester, NY 14618-1417

Phone: (607) 731-4941

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1780874859
Entity Type
Individual
Last Name
Longwell
First Name
Thomas
Middle Name
Patrick
Name Prefix
Mr.
Credential
OPTICIAN
Mailing Street Address
1644 Monroe Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-1417
Mailing Country
US
Mailing Phone
(607) 731-4941
Practice Street Address
1644 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-1417
Practice Country
US
Practice Phone
(607) 731-4941
Enumeration Date
July 25, 2007
Last Updated
September 14, 2010
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)
Other Identifiers
02913817 (NY)