DR. LOGAN MICHAEL PAGE (NPI# 1427535426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427535426 |
| Entity Type | Individual |
| Full Name | DR. LOGAN MICHAEL PAGE |
| Credential | OD |
| Practice Address |
1127 S Gutensohn Rd Ste 101 Springdale AR 72762-5189 |
| Mailing Address |
649 Highway Uu Poplar Bluff MO 63901-5450 |
| Practice Telephone | 4797503937 |
| Practice Fax Number | 4797503943 |
| Mailing Telephone | 5734298009 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2782 | AR | Eye and Vision Services Providers |
| Street Address |
1127 S GUTENSOHN RD STE 101 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-5189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| 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 |
|---|---|---|---|---|
| 1881241792 | Radiant Eye Care Optometric Corporation | Optometrist | 1210 Jtl Pkwy E Ste 103, Springdale, AR 72762-7019 | 2019-08-25 |
| 1912311523 | Lauren Pastucha | Optometrist | 228 S North St, Springdale, PA 15144-1535 | 2014-06-12 |
| 1861650186 | Kimberly A. Owens, Optometric Physician, Pa | Optometrist | 1602 E Robinson Ave Ste M, Springdale, AR 72764-6045 | 2008-05-23 |
| 1285781294 | Caprice Lynn Smith Lawson | Optometrist | 600 Kemper Commons Circle, Springdale, OH 45246 | 2007-01-04 |
| 1417067687 | Brandon Eye Clinic Pllc | Optometrist | 1600 W Sunset Ave, Springdale, AR 72762-5136 | 2006-08-30 |
| 1598772329 | Mark H Travis | Optometrist | 4687 Stonewall Xing, Springdale, AR 72764-8579 | 2006-08-02 |
| 1265463483 | Martha Elleen Myers | Optometrist | 3078 Ladelle Pl, Springdale, AR 72764-8577 | 2006-07-05 |
| 1740224898 | Jeffery Braxton Myers | Optometrist | 830 E Robinson Ave, Suite A, Springdale, AR 72764-7113 | 2006-06-16 |
| 1255382438 | Wesley M Andersen | Optometrist | 3291 S Thompson St Ste C101, Springdale, AR 72764-7343 | 2006-05-13 |
| 1467444026 | Kimberly A Owens | Optometrist | 1602 E Robinson Ave, Ste. M, Springdale, AR 72764-5991 | 2005-08-19 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
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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.