Active NPI
Cynthia Rae Logan, O.D.
- Optometrist
- Hoffman Estates, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 3333 Beverly Rd
Sears Optical
Hoffman Estates, IL 60179-0001 - Phone
- (847) 286-7200
- Fax
- (847) 286-2246
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IL | Primary |
Addresses
Primary practice location
3333 Beverly Rd
Sears Optical
Hoffman Estates, IL 60179-0001
Mailing address
2713 Briargate CT
West Chicago, IL 60185-6431
Phone (630) 762-0274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-008781 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | Accepting new patients | |
| United Eye Care Providers, LLC | Optometrist | Past | Accepting new patients |
| Central Dupage Vision Center Inc. | Optometrist | Past | Accepting new patients |
Locations
239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286
2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133
384 Randall Rd
South Elgin, IL 60177
Phone (847) 695-3354
19100 Ridgewood Pkwy
Bldg 1
San Antonio, TX 78259
Phone (726) 444-4069
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Niles, IL
- NPI 1831115906
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
-
- Optometrist
- Winfield, IL
- NPI 1972841393
-
- Optometrist
- Lemont, IL
- NPI 1013070093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053436006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2713 BRIARGATE CT",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601856431",
"telephone_number": "630-762-0274",
"fax_number": "847-286-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BEVERLY RD",
"address_2": "SEARS OPTICAL",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601790001",
"telephone_number": "847-286-7200",
"fax_number": "847-286-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "CYNTHIA",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.