Logan Oostdyk, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005926 Issued in MI

Practice address

12606 Holly Rd
Grand Blanc, MI 48439-1892

Phone

(810) 694-3652

Fax

(810) 694-0963

NPI assigned

Mar 20, 2025

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 MI

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

Ferris State College - College of Optometry, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Iris Eyecare PC

  • Optometrist
  • Fenton, MI
  • NPI 1881155281
  NPD
• National Vision Inc

  dba America's Best Contacts & Eyeglasses

  • Optometrist
  • North Olmsted, OH
  • NPI 1912651589
  NPD (past)

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1326849837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 HUNTERS RUN DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484396318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391892",
            "telephone_number": "810-694-3652",
            "fax_number": "810-694-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 S. Leroy St",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MI",
            "postal_code": "48430",
            "country_code": "US",
            "telephone_number": "810-310-4747",
            "fax_number": "810-215-1260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1121 N Saginaw St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Holly",
            "state": "MI",
            "postal_code": "484421380",
            "country_code": "US",
            "telephone_number": "248-382-5733",
            "fax_number": "248-382-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OOSTDYK",
        "first_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-20",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005926",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrystal Racquel Ojo, AGPCNP-BC
• Anastasia Marie Olsen
• Molly P Olsen, D.O.
• Eugene Stanley Olsowka, M.D., PH.D.
• Agbadebo Olanrewaju Onabajo, MD
• Optimal Rehabilitation & Wellness - Grand Blanc, LLC
• Linda K Ormond-Matlock, PA-C
• Gabriela Oroza Aragu
• Shari Orr, FNP-C
• Ortho Xpress PLLC

• Optometrist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; 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.