Logan Reck, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG004010 Issued in PA

Practice address

1040 Old Orchard Dr
Gibsonia, PA 15044-6080

Phone

(724) 612-9430

NPI assigned

Jun 8, 2023

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Insight Eye Consultants to Nursing FacilitiesGroup PAC ID 4385826908, 4 clinicians

Eyecare Greengate PCGroup PAC ID 4486734050, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: logan.reck.p12@direct.cornerstonecare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyecare Greengate PC

  • Optometrist
  • Greensburg, PA
  • NPI 1902914187
  Medicare reassignment Care Compare group NPD
• Insight Eye Consultants to Nursing Facilities Inc

  • Optometrist
  • Gibsonia, PA
  • NPI 1356648554
  Medicare reassignment Care Compare group NPD
• Cornerstone Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greensboro, PA
  • NPI 1376512582
  Medicare reassignment NPD
• Sto-Rox Neighborhood Health Council, Inc.

  • Federally Qualified Health Center (FQHC)
  • McKees Rocks, PA
  • NPI 1154354553
  Medicare reassignment NPD
• Cornerstone Care Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, PA
  • NPI 1306474598
  NPD
• Cornerstone Care Inc.

  dba Cornerstone Care Community Health Center of Mount Morris-Medical

  • Federally Qualified Health Center (FQHC)
  • Mount Morris, PA
  • NPI 1194029819
  NPD
• Sto-Rox Neighborhood Health Council, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1114339371
  NPD
• Cornerstone Care Inc

  dba Sto-Rox Family Health Center

  • Federally Qualified Health Center (FQHC)
  • McKees Rocks, PA
  • NPI 1912897950
  NPD (past)
• David D. Green OD

  • Optometrist
  • Greensburg, PA
  • NPI 1437307626
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1144914466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 OLD ORCHARD DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150446080",
            "telephone_number": "724-612-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 OLD ORCHARD DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150446080",
            "telephone_number": "724-612-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECK",
        "first_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007148",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rambacher Chiropractic Services, Inc.
• David A Rambacher, D.C.
• Richard Leo Raszewski, MD
• Emilie Raymond, DPT
• Elizabeth Rearigh, SLP
• Sanford Martin Reich, M.D.
• Tara Meledandri Reighard, PT
• Renaissnance Family Practice-Upmc,Inc
• Melissa Richey, CRNP
• Richland EMS, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.