LOGAN MICHAEL (NPI# 1255957817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255957817 |
| Entity Type | Individual |
| Full Name | LOGAN MICHAEL |
| Credential | OD |
| Practice Address |
187 Columbus Rd Athens OH 45701-1315 |
| Mailing Address |
1617 Hornbeck Rd Morgantown WV 26508-4757 |
| Practice Telephone | 7405933191 |
| Mailing Telephone | 3046852753 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT.006901 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE NUMBER | OPT.006901 | 01 |
| Street Address |
187 COLUMBUS RD |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588844765 | Jeromy T Schultz | Physical Therapist | 187 Columbus Rd, Athens, OH 45701-1315 | 2007-11-06 |
| 1578908596 | Physical Therapy Associates, LLC | Physical Therapist | 187 Columbus Rd, Athens, OH 45701-1315 | 2013-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| 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 |
|---|---|---|---|---|
| 1407412471 | Kajene Murugathasan | Optometrist | 1077 Baxter St Ste 100, Athens, GA 30606-3767 | 2019-05-15 |
| 1164910972 | Envision Optics LLC | Optometrist | 1021 Dowdy Rd, Athens, GA 30606-5718 | 2018-04-26 |
| 1871901231 | Heather Nicole Sutton | Optometrist | 110 College St Ste B, Athens, AL 35611-2714 | 2014-07-30 |
| 1841520038 | Km Vision Inc. | Optometrist | 3700 Atlanta Highway 141 Georgia Square Mall, Athens, GA 30606-7420 | 2010-01-11 |
| 1215166152 | Megan Morris Evans | Optometrist | 22097 Medical Village Drive, Athens, AL 35613 | 2009-07-14 |
| 1497969075 | Nettune Eye Associates | Optometrist | 1123 S Palestine St Ste 100, Athens, TX 75751-3645 | 2007-05-10 |
| 1114040763 | Mark Gregory Mills | Optometrist | 1850 Epps Bridge Pkwy Ste 325, Athens, GA 30606-6186 | 2007-04-09 |
| 1407974082 | Mier Wang | Optometrist | 3700 Atlanta Hwy Ste 141, Athens, GA 30606-7420 | 2007-03-26 |
| 1689718728 | Sheri J Robson | Optometrist | 222 S Palestine St, Athens, TX 75751-2508 | 2007-02-19 |
| 1891861803 | Scott Timothy Williams | Optometrist | 1405 E Tyler Street, Suite 100, Athens, TX 75751-2724 | 2006-11-28 |
| Find all providers in ATHENS | ||||
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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.