Active NPI
Logan Smith, MD
- Ophthalmology Physician
- Birmingham, AL
National Provider Identifier
1356385777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 9292
- Practice address
- 860 Montclair Rd
Suite 450
Birmingham, AL 35213-1923 - Phone
- (205) 595-5544
- Fax
- (205) 591-3760
- NPI assigned
- Jun 15, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 9292 | AL | Primary |
Addresses
Primary practice location
860 Montclair Rd
Suite 450
Birmingham, AL 35213-1923
Mailing address
860 Montclair Rd
Suite 450
Birmingham, AL 35213-1923
Phone (205) 595-5544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9292 | AL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Eye Center | Past | Accepting new patients |
Organizations & group practices 1
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": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1356385777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 MONTCLAIR RD",
"address_2": "SUITE 450",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352131923",
"telephone_number": "205-595-5544",
"fax_number": "205-591-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 MONTCLAIR RD",
"address_2": "SUITE 450",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352131923",
"telephone_number": "205-595-5544",
"fax_number": "205-591-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LOGAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AL",
"license": "9292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.