Logan Jose Granera

Primary specialty

OptometristTaxonomy code 152W00000X

License

092219 Issued in IA

Practice address

2743 Mount Pleasant St
Burlington, IA 52601

Phone

(319) 754-2020

NPI assigned

Jan 15, 2018

Sex

Male

Sole proprietor

No

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.

• American Eyecare PC

  • Optometrist
  • Keokuk, IA
  • NPI 1447349279

  IA, Optometrist

  Medicare reassignment Care Compare group NPD
• I Care of the Cedar Valley PLC

  • Optometrist
  • Iowa City, IA
  • NPI 1912517137

  IA, Optometrist

  Medicare reassignment Care Compare group NPD
• Mt Vernon Eye Clinic PLC

  • Optometrist
  • Mount Vernon, IA
  • NPI 1578635686

  IA, Optometrist

  Medicare reassignment Care Compare group NPD
• American Eyecare PC

  • Optometrist
  • Fort Madison, IA
  • NPI 1538258363
  Care Compare group NPD
• American Eyecare PC

  • Optometrist
  • Mt Pleasant, IA
  • NPI 1699314815
  Care Compare group NPD
• American Eyecare PC

  • Optometrist
  • Burlington, IA
  • NPI 1881789667
  Care Compare group NPD
• Alberhasky Eye Clinic PC

  • Optometrist
  • Iowa City, IA
  • NPI 1689915340
  NPD

Specialty

Optometry

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Mt Vernon Eye Clinic PLC 4 clinicians

I Care of the Cedar Valley PLC 2 clinicians

American Eyecare PC 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1306354147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 MOUNT PLEASANT ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 MOUNT PLEASANT ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "52601",
            "telephone_number": "319-754-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 Avenue L",
            "address_purpose": "LOCATION",
            "city": "Fort Madison",
            "state": "IA",
            "postal_code": "526274008",
            "country_code": "US",
            "telephone_number": "319-754-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "IA",
            "postal_code": "525569572",
            "country_code": "US",
            "telephone_number": "319-754-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Main St",
            "address_purpose": "LOCATION",
            "city": "Keokuk",
            "state": "IA",
            "postal_code": "526323225",
            "country_code": "US",
            "telephone_number": "319-754-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANERA",
        "first_name": "LOGAN",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "092219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy J. Gerveler, CADC
• Carmen Lydia Gittings, LMT, CRR
• Anzlee Gnann
• Lance M Golly
• Abigail Anne Granera
• Matthew Granquist, PT, DPT
• Great River Aea 16
• Great River Aea 16
• Great River Child Care Inc.
• Great River Eye Care, Inc.

• All providers in Burlington, IA
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.