LOGAN OPTICAL (NPI# 1851504401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851504401 |
| Entity Type | Organization |
| Organization Name | LOGAN OPTICAL |
| Practice Address |
1300 N 500 E Ste. 360 Logan UT 84341-2408 |
| Mailing Address |
1300 N 500 E Suite 360 Logan UT 84341-2408 |
| Practice Telephone | 4357535280 |
| Practice Fax Number | 4357525245 |
| Mailing Telephone | 4357535280 |
| Mailing Fax Number | 4357525245 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2010-08-25 |
| Authorized Official Name | MR. JEFF LARSEN (OWNER) |
| Authorized Official Telephone | 4357535280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
1300 N 500 E STE. 360 |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043210248 | Trek Lyons | Family Medicine | 1300 N 500 E, Suite 130, Logan, UT 84341-2408 | 2005-07-28 |
| 1285277103 | Allison Ewing Saunders | Physical Therapy Assistant | 1300 N 500 E, Logan, UT 84341-2408 | 2019-10-23 |
| 1649790114 | Candace Lee Slater | Physical Therapist | 1300 N 500 E, Logan, UT 84341-2408 | 2017-06-26 |
| 1972048569 | Lindsey Hunsaker | Speech-Language Pathologist | 1300 N 500 E, Logan, UT 84341-2408 | 2017-01-05 |
| 1629510086 | Sarah Harrison | Physical Therapist | 1300 N 500 E, Logan, UT 84341-2408 | 2016-11-15 |
| 1346612983 | Jamie Mcfarland | Nurse Practitioner | 1300 N 500 E, Suite 320, Logan, UT 84341-2408 | 2015-10-22 |
| 1760864193 | Mark Tureson | Physical Therapy Assistant | 1300 N 500 E, Logan, UT 84341-2408 | 2015-06-22 |
| 1922491430 | Kaye Marie Smith | Nurse Practitioner | 1300 N 500 E, Logan, UT 84341-2408 | 2015-03-07 |
| 1467851998 | Ryan Buck | Nurse Practitioner | 1300 N 500 E, Suite 320, Logan, UT 84341-2408 | 2014-08-20 |
| 1801114459 | Ihc Health Services Inc | Internal Medicine | 1300 N 500 E, Suite 320, Logan, UT 84341-2408 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356516801 | Robert E. Baldwin | Eyewear Supplier (Equipment, not the service) | 1097 N Main St, Logan, UT 84341-2215 | 2008-04-25 |
| 1376584201 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 77 Norman Morgan Blvd, Logan, WV 25601-3477 | 2006-06-10 |
| 1194334979 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1205 N Main St, Logan, UT 84341-2219 | 2020-07-28 |
| 1962995456 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1475 N Main St Ste 103, Logan, UT 84341-2598 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935882 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15 S River Rd # 150, St George, UT 84790-2106 | 2020-06-08 |
| 1265088074 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 846 Expressway Ln, Spanish Fork, UT 84660-1300 | 2019-08-16 |
| 1407412885 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1520 W 9000 S Ste E, West Jordan, UT 84088-8001 | 2019-05-11 |
| 1043876428 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2843 S 5600 W Ste 170, West Valley City, UT 84120-6089 | 2019-05-11 |
| 1134785512 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2035 Harris Blvd Ste C, Layton, UT 84041-1655 | 2019-05-11 |
| 1124584529 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1986 N Hill Field Rd Ste 5, Layton, UT 84041-2112 | 2019-02-11 |
| 1003383803 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 918 E 900 S, Salt Lake City, UT 84105-1402 | 2018-10-30 |
| 1356826010 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4115 Riverdale Rd, Ogden, UT 84405-3509 | 2018-09-28 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1790225696 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 6117 S State St, Murray, UT 84107-7343 | 2017-02-27 |
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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.