AMY BROOKE LOGAN


Address: 1716 University Blvd, G080a, Birmingham, AL 35294-0010
Phone: 2059752020

AMY BROOKE LOGAN (NPI# 1235623281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235623281
Entity Type Individual
Full Name AMY BROOKE LOGAN
Credential OD
Practice Address 1716 University Blvd
G080a
Birmingham
AL 35294-0010
Mailing Address 3346 Westmoreland Dr
Roanoke
VA 24018-3635
Practice Telephone 2059752020
Practice Fax Number 2059346755
Mailing Telephone 2563102032
Enumeration Date 2018-06-21
Last Update Date 2020-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist S-E10-TA-B46 AL Eye and Vision Services Providers
N 152W00000X Optometrist 0618002666 VA Eye and Vision Services Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1384 Towne Square Blvd Nw, Roanoke, VA 240121611 5402782880
145 Holt Garrison Pkwy, Danville, VA 245405958 4344832199
1970 Roanoke Blvd, Salem, VA 241536404 5409822463

Other Providers AMY LOGAN

NPI Name Taxonomy Address Enumeration
1811328503 Amy Logan Pharmacist 1001 Potrero Ave Rm 1p6, San Francisco, CA 94110-3518 2013-12-05
1639555295 Amy Marie Logan Nurse Practitioner 501 6th Ave S, St Petersburg, FL 33701-4634 2015-08-06
1710391305 Amy Jo Logan Physical Therapy Assistant 3525 E Hanna Ave, Indianapolis, IN 46237-1230 2014-06-11
1215171368 Amy L Logan Nurse Practitioner 3231 S National Ave, Ste 140, Springfield, MO 65807-7304 2009-04-20

Office Location

Street Address 1716 UNIVERSITY BLVD
G080A
City BIRMINGHAM
State AL
Zip Code 35294-0010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407859531 Melanie D Sivley Optometrist 1716 University Blvd, Hpb G080, Birmingham, AL 35294-0010 2005-05-23
1841857562 Michael Joseph Everson Optometrist 1716 University Blvd, Birmingham, AL 35233-1816 2019-05-29
1184282816 Natalie Nichole West Optometrist 1716 University Blvd, Birmingham, AL 35233-1816 2019-05-29
1922536085 William Reid Cluff Optometrist 1716 University Blvd, G080a, Birmingham, AL 35294-0010 2017-06-01
1467807636 Terri Lynn Call Optometrist 1716 University Blvd, Hpb G080a, Birmingham, AL 35294-0010 2016-04-25
1174902282 Juan Huang Optometrist 1716 University Blvd, G080a, Birmingham, AL 35294-0010 2015-05-21
1275911950 Monica S Kennedy Optometrist 1716 University Blvd, Hpb G080, Birmingham, AL 35294-0010 2015-05-13
1467840587 Nicole Guyette Optometrist 1716 University Blvd, Hpb G080a, Birmingham, AL 35294-0010 2014-12-23
1275880155 Stephanie Cox Optometrist 1716 University Blvd, Hpb G080a, Birmingham, AL 35294-0010 2012-08-09
1225383979 Jillian F. Ziemanski Optometrist 1716 University Blvd, Hpb G080a, Birmingham, AL 35294-0010 2012-07-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578055943 Ashley Becking Smith Optometrist 1716 University Blvd G090a, Birmingham, AL 35294 2018-06-01
1235635780 Ruoting Wei Nurse Practitioner Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 2018-04-03
1295235372 Ruben Angiolo Mazzucchelli Student in an Organized Health Care Education/Training Program 901 Fot; 510 20th Street South, Uab Department of Orthopaedic Surgery, Birmingham, AL 35294 2018-02-15
1528571981 Alison Rachel Thomas Social Worker Uab Community Psychiatry 908 20th Street South Rm 487, Birmingham, AL 35294 2017-11-08
1346752490 Sara Michelle Kimbrell Nurse Practitioner 701 S. 19th Street, Lhr 112, Birmingham, AL 35294 2017-10-30
1801338785 Melissa Robinson Specialist/Technologist 608 13th St South, Wb104, Birmingham, AL 35294 2016-11-09
1487020897 Heriberto Enrique Matos Santana Student in an Organized Health Care Education/Training Program 1900 University Blvd Tht Building 311, Birmingham, AL 35294 2015-08-19
1073908364 Jamie Youngshin Kim Dentist 1919 7th Avenue South, Sdb 305, University of Alabama School of Dentistry, Birmingham, AL 35294 2015-04-02
1407257629 Kathryn Johannah Langley Nurse Practitioner 1530 3rd Avenue So, Tht 422, Birmingham, AL 35294 2014-09-08
1427463702 Lakeshia Thomas Student in an Organized Health Care Education/Training Program 1919-7th Avenue South, 304a, Birmingham, AL 35294 2014-06-25
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417560418 Blue Vision Center LLC Optometrist 2818 Lakeshore Pkwy, Birmingham, AL 35211-5500 2020-08-28
1588205223 See Inc Optometrist 200 Summit Blvd, Suite 168, Birmingham, AL 35243 2019-10-03
1841842275 Derek Haden Optometrist 4233 3rd Ave S Apt 104, Birmingham, AL 35222-2022 2019-07-16
1659933448 National Vision Inc Optometrist 1616 Gadsden Hwy Ste 100, Birmingham, AL 35235-3147 2019-07-02
1487140828 Lauren Moriah Boudousquie Optometrist 700 19th St S # 124, Birmingham, AL 35233-1927 2018-07-09
1578055943 Ashley Becking Smith Optometrist 1716 University Blvd G090a, Birmingham, AL 35294 2018-06-01
1164914461 Amy H Vinogradov Optometrist 1716 University Blvd # G090a, Birmingham, AL 35233-1816 2018-06-01
1871084723 John James Bushaw Iv Optometrist 800 S Adams Rd Ste 201, Birmingham, MI 48009-7008 2018-05-27
1992215719 Christopher Hahn Lee Optometrist 700 19th St S # Sbrc124, Birmingham, AL 35233-1927 2017-10-06
1215447073 Myeyedr Optometry of Alabama LLC Optometrist 5510 Highway 280 Ste 213, Birmingham, AL 35242-6583 2017-10-06
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Competitor

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City BIRMINGHAM
Zip Code 35294

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Dataset Information

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.

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