LOGAN EYE INSTITUTE, PLLC (NPI# 1831585330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831585330 |
| Entity Type | Organization |
| Organization Name | LOGAN EYE INSTITUTE, PLLC |
| Practice Address |
810 S 100 W Suite A Logan UT 84321-5929 |
| Practice Telephone | 4357877200 |
| Practice Fax Number | 4357877203 |
| Mailing Telephone | 4357877200 |
| Mailing Fax Number | 4357877203 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MARILYN THOMSON (BILLING/CREDENTIALING EXECUTIVE) |
| Authorized Official Telephone | 4357877200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ========= | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | PERSONAL NPI NUMBER | 1699742684 | 01 |
| UT | PERSONAL NPI NUMBER | 1407885007 | 01 |
| UT | PERSONAL NPI NUMBER | 1689603284 | 01 |
| UT | PERSONAL NPI NUMBER | 1902829799 | 01 |
| UT | PERSONAL NPI NUMBER | 1639256670 | 01 |
| UT | PERSONAL NPI NUMBER | 1932321460 | 01 |
| Street Address |
810 S 100 W SUITE A |
| City | LOGAN |
| State | UT |
| Zip Code | 84321-5929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528453396 | South Pointe Surgical Center | Clinic/Center | 810 S 100 W, Suite 120, Logan, UT 84321-5929 | 2015-03-30 |
| 1134367808 | Matthew Hammond Md PC | Ophthalmology | 810 S 100 W, Suite A, Logan, UT 84321-6093 | 2009-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074157 | Grant E Severe | Pharmacist | 175 E 442 N, Logan, UT 84321 | 2019-10-11 |
| 1437712585 | Gregory Scott Hansen | Pharmacist | 412 East 200 North, Logan, UT 84321 | 2019-04-15 |
| 1043701584 | Mckell Peidl | Behavior Technician | 240 E 400 N Apt 8, Logan, UT 84321 | 2018-05-21 |
| 1801331194 | Eric Dutson | Speech-Language Pathologist | 964 W 2880 S, Nibley, UT 84321 | 2016-12-22 |
| 1063805299 | Krystal Cox | Marriage & Family Therapist | 493 North 700 East, Logan, UT 84321 | 2015-03-12 |
| 1013340801 | Carly D. L. Lebaron | Marriage & Family Therapist | 95 W. 100 S., Suite 360, Logan, UT 84321 | 2013-08-15 |
| 1669710471 | Brandon Bailey | Counselor | 1465 N. 300 W., Ste. A, Brigham, UT 84321 | 2013-01-29 |
| 1871843086 | Brandi Lee Richins | Social Worker | 90 E. 200 N., Logan, UT 84321 | 2012-09-14 |
| 1922356732 | Stacy Lynn Hamilton Jones | Marriage & Family Therapist | 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 | 2012-08-28 |
| 1992002455 | Robert Thomas Allred | Chiropractor | 944 South Highway 89/91, Logan, UT 84321 | 2011-02-18 |
| Find all providers in zip 84321 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679088041 | Steven R Young Md PC | Ophthalmology | 1300 N 500 E Ste 220, Logan, UT 84341-2472 | 2017-12-07 |
| 1598962482 | Bryan Kay Monson | Ophthalmology | 810 S 100 W Ste A, Logan, UT 84321-6093 | 2007-07-02 |
| 1205986841 | J Scott Raymond Md PC | Ophthalmology | 550 E 1400 N Ste P, Logan, UT 84341-2450 | 2007-01-12 |
| 1124019997 | Michael Brian Beres | Ophthalmology | 77 Hospital Dr, Suite 400, Logan, WV 25601-3451 | 2005-11-02 |
| 1134367808 | Matthew Hammond Md PC | Ophthalmology | 810 S 100 W, Suite A, Logan, UT 84321-6093 | 2009-02-03 |
| 1558513895 | Cache Valley Eye Associates, Pllc | Ophthalmology | 1300 N 500 E, Suite 350, Logan, UT 84341-2408 | 2008-10-17 |
| 1417112715 | Christian D Nilson Md PC | Ophthalmology | 550 E 1400 N Ste P, Logan, UT 84341-2450 | 2008-07-25 |
| 1992973671 | W Reed Jaussi Md PC | Ophthalmology | 550 E 1400 N, Ste T, Logan, UT 84341-2406 | 2008-02-14 |
| 1932321460 | Christian D Nilson | Ophthalmology | 550 E 1400 N Ste P, Logan, UT 84341-2450 | 2007-05-03 |
| 1518058817 | Vision Consultants Pllc | Ophthalmology | 77 Hospital Dr, Suite 400, Logan, WV 25601-3451 | 2006-09-28 |
| Find all providers in LOGAN | ||||
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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.