Individual provider Active NPI

Amy Brooke Logan, OD

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1235623281
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-E10-TA-B46 Issued in AL
Practice address
1716 University Blvd
G080A
Birmingham, AL 35294-0010
Phone
(205) 975-2020
Fax
(205) 934-6755
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 S-E10-TA-B46 AL Primary
Optometrist 152W00000X 0618002666 VA

Addresses

Primary practice location

1716 University Blvd
G080A
Birmingham, AL 35294-0010

Mailing address

3346 Westmoreland Dr
Roanoke, VA 24018-3635
Phone (256) 310-2032

Other practice location 1

145 Holt Garrison Pkwy
Danville, VA 24540-5958
Phone (434) 483-2199

Other practice location 2

1384 Towne Square Blvd NW
Roanoke, VA 24012-1611
Phone (540) 278-2880

Other practice location 3

1970 Roanoke Blvd
Salem, VA 24153-6404
Phone (540) 982-2463

Other practice location 4

1509 6th Ave S
Birmingham, AL 35233-1601
Phone (205) 930-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20190824000712 AL Practitioner - Optometry 2365770674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Alabama at BirminghamGroup PAC ID 3779487970, 93 clinicians

Practice addresses (Care Compare)

1509 6TH Ave S
Birmingham, AL 35233-1601
Phone (205) 930-3200

1716 University Blvd
Birmingham, AL 35233-1816
Phone (205) 934-3899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002666VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Nov 1, 2025 Accepting new patients
University of Alabama at Birmingham CurrentSince Aug 1, 2019 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Nov 1, 2025 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Aug 1, 2019 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

1716 University Blvd
#G80A
Birmingham, AL 35233
Phone (205) 934-4748

1716 University Blvd
Birmingham, AL 35294

Interoperability endpoints

  • Direct secure messaging: amylogan@direct.uabmedicine.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1235623281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3346 WESTMORELAND DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183635",
            "telephone_number": "256-310-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 UNIVERSITY BLVD",
            "address_2": "G080A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940010",
            "telephone_number": "205-975-2020",
            "fax_number": "205-934-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Holt Garrison Pkwy",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245405958",
            "country_code": "US",
            "telephone_number": "434-483-2199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1384 Towne Square Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240121611",
            "country_code": "US",
            "telephone_number": "540-278-2880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1970 Roanoke Blvd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241536404",
            "country_code": "US",
            "telephone_number": "540-982-2463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331601",
            "country_code": "US",
            "telephone_number": "205-930-3200",
            "fax_number": "205-930-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "AMY",
        "middle_name": "BROOKE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E10-TA-B46",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.