Logic Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000255 Issued in PA

Legal business name

LOGIC EYECARE INC

Practice address

6101 Limekiln Pike
Medical Suite
Philadelphia, PA 19141

Phone

(215) 548-2010

Fax

(215) 548-2130

NPI assigned

Aug 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tamara Hill- Bennett, O.D.

Title

Ceo

Phone

(215) 548-2010

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole S Williams, O.D.

  • Optometrist
  • Springfield, PA
  • NPI 1821288820
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1073621728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 E MOUNT PLEASANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191502901",
            "telephone_number": "215-548-2010",
            "fax_number": "215-548-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 LIMEKILN PIKE",
            "address_2": "MEDICAL SUITE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-548-2010",
            "fax_number": "215-548-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGIC EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "HILL- BENNETT",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-548-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "223752000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00010192",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "097332",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE/SPECTERA VISI",
            "identifier": "20189",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "LH529261",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019658780001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Logan, PH.D., ABPP
• Jennifer B Logan, MD
• Roxanne Yolanda Logan, LCSW
• Susan Logan, CRNA
• Jazmin A Logendra, O.D.
• Lia S Logio, MD
• Logos Medical Supply Inc.
• Mia Logsdon, PA-C
• Susan Logsdon, LSW, M. ED
• Emily Logue, PA-C

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.