Individual provider Active NPI

Alexis L. Logan, OD

  • Optometrist
  • Rock Hill, SC
National Provider Identifier
1184585390
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2576 Issued in SC
Practice address
2427 Cross Pointe Dr
Rock Hill, SC 29730-8267
Phone
(803) 681-0973
NPI assigned
Nov 19, 2025
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2576 SC Primary
Optometric Technician 156FX1202X

Addresses

Primary practice location

2427 Cross Pointe Dr
Rock Hill, SC 29730-8267

Mailing address

2120 Statesville Blvd
Salisbury, NC 28147-1410
Phone (704) 636-0559

Other practice location 1

2077 Parkway Dr Ste 102
Indian Land, SC 29707-8088
Phone (839) 293-0292

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2576SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Accuvision Eye Care OD, PA Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Clark Optometric Center PA Optometrist CurrentSince Nov 24, 2025 Accepting new patients
Bartlett Grigsby Boan & Assoc PLLC Optometrist PastSince Nov 24, 2025 Accepting new patients

Locations

2120 Statesville Blvd
Salisbury, NC 28147
Phone (704) 636-0059

2077 Parkway Dr
Ste 102
Indian Land, SC 29707
Phone (839) 293-0290

2427 Cross Pointe Dr
Rock Hill, SC 29730
Phone (803) 681-0520

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1184585390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 STATESVILLE BLVD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471410",
            "telephone_number": "704-636-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 CROSS POINTE DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297308267",
            "telephone_number": "803-681-0973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2077 Parkway Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Indian Land",
            "state": "SC",
            "postal_code": "297078088",
            "country_code": "US",
            "telephone_number": "839-293-0292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ALEXIS",
        "middle_name": "L.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2576",
            "primary": true
        },
        {
            "code": "156FX1202X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.