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Contact Information

EYE PROS OF LOGAN LLC
1475 N MAIN ST STE 103
LOGAN, UT84341
 Phone: 208-501-8222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYE PROS OF LOGAN LLC

NPI Number 1043702046
LBN Legal business name EYE PROS OF LOGAN LLC
Authorized official LAVAR KOFOED - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2018
Last updated 02/22/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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