Individual provider Active NPI

Lorie Anne Logan, OD

  • Optometrist
  • McLean, VA
National Provider Identifier
1124122775
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001062 Issued in VA
Practice address
8180 Greensboro Dr
Suite 140
McLean, VA 22102-3888
Phone
(703) 827-5454
Fax
(703) 827-5539
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001062 VA Primary

Addresses

Primary practice location

8180 Greensboro Dr
Suite 140
McLean, VA 22102-3888

Mailing address

8180 Greensboro Dr
Suite 140
McLean, VA 22102-3888
Phone (703) 827-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0618001062VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornea Consultants, P.C. 2 Past Accepting new patients
Maurice J. Oakley,M.D.,P.S.C. Optometrist PastSince Nov 14, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124122775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 GREENSBORO DR",
            "address_2": "SUITE 140",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023888",
            "telephone_number": "703-827-5454",
            "fax_number": "703-827-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 GREENSBORO DR",
            "address_2": "SUITE 140",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023888",
            "telephone_number": "703-827-5454",
            "fax_number": "703-827-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "LORIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.