LOGAN JOSE GRANERA (NPI# 1306354147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306354147 |
| Entity Type | Individual |
| Full Name | LOGAN JOSE GRANERA |
| Practice Address |
2743 Mount Pleasant St Burlington IA 52601 |
| Mailing Address |
2743 Mount Pleasant St Burlington IA 52601-2137 |
| Practice Telephone | 3197542020 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 092219 | IA | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 S Main St, Fairfield, IA 525569572 | 3197542020 | |
| 2025 Main St, Keokuk, IA 526323225 | 3197542020 | |
| 2235 Avenue L, Fort Madison, IA 526274008 | 3197542020 |
| Street Address |
2743 MOUNT PLEASANT ST |
| City | BURLINGTON |
| State | IA |
| Zip Code | 52601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881789667 | American Eyecare PC | Optometrist | 2743 Mount Pleasant St, Burlington, IA 52601-2137 | 2006-10-04 |
| 1215445051 | Abigail Anne Granera | Optometrist | 2743 Mount Pleasant St, Burlington, IA 52601 | 2018-01-15 |
| 1568815496 | Stacey Carabello | Optometrist | 2743 Mount Pleasant St, Burlington, IA 52601-2137 | 2016-07-15 |
| 1932256583 | Freedom Laser, L.L.C. | Optometrist | 2743 Mount Pleasant St, Burlington, IA 52601-2137 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
| 1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
| 1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
| 1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
| Find all providers in zip 52601 | ||||
| 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 |
|---|---|---|---|---|
| 1659901569 | Myeyedr Optometry of Massachusetts P C | Optometrist | 50 Mall Rd Ste 114, Burlington, MA 01803-4527 | 2020-01-20 |
| 1114445145 | Katlyn Lane Lee | Optometrist | 1821 Florence Pike Ste 1, Burlington, KY 41005-7942 | 2017-08-30 |
| 1174077036 | Nicole Frances Theiss | Optometrist | 74 Burlington Mall Rd, Burlington, MA 01803-4518 | 2016-08-09 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1528467800 | Joseph Wald Od Inc | Optometrist | 406 E Fairhaven Ave, Burlington, WA 98233-1819 | 2014-08-22 |
| 1053727388 | Riya Paranthan | Optometrist | 7373 Ironwood Way, Burlington, KY 41005-8838 | 2014-07-08 |
| 1629406731 | Drs Price Young Odle & Horsch Pa | Optometrist | 800 N 4th St, Ste 102, Burlington, KS 66839-2617 | 2013-10-29 |
| 1982944062 | Spitz Eyecare LLC | Optometrist | 1035 Lawrence St, Suite 106, Burlington, IA 52601-1549 | 2013-02-26 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1093001117 | Nazmul Hasan | Optometrist | 2106 Burlington Mount Holly Rd, Walmart Vision Center, Burlington, NJ 08016-4158 | 2011-06-27 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 52601 |
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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.