Individual provider Active NPI

Logan Lawrence Christensen, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Winter Haven, FL
National Provider Identifier
1467891812
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME138716 Issued in FL
Practice address
250 Avenue K SW Ste 200
Winter Haven, FL 33880-3919
Phone
(863) 297-5400
Fax
(863) 595-4515
NPI assigned
Jun 19, 2013
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME138716 FL
Ophthalmology Physician 207W00000X LL35687 SC
Retina Specialist (Ophthalmology) Physician 207WX0107X ME138716 FL Primary

Addresses

Primary practice location

250 Avenue K SW Ste 200
Winter Haven, FL 33880-3919

Mailing address

250 Avenue K SW Ste 200
Winter Haven, FL 33880-3919
Phone (863) 297-5400

Other identifiers 1

IdentifierTypeStateIssuer
124088900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address loganchristensen@direct-address.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170816000769 AL Practitioner - Ophthalmology 8325272966 Reassigns benefits to 3 organizations
I20190319002845 FL Practitioner - Ophthalmology 8325272966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 Ave K SW
Suite 200
Winter Haven, FL 33880-3919
Phone (863) 297-5400

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Uab Callahan Eye Hospital Authority Current Accepting new patients
University of Alabama Ophthalmology Services Foundation Ophthalmology CurrentSince Jul 23, 2017 Accepting new patients
Uab Callahan Eye Hospital Authority Ophthalmology CurrentSince Jul 1, 2017 Accepting new patients
Vitreous and Retina Consultants, LLC Ophthalmology CurrentSince May 14, 2019 Accepting new patients
Vitreous & Retina Consultants, PA Ophthalmology CurrentSince May 14, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC. PastSince Jul 23, 2017 Accepting new patients

Locations

1720 University Blvd
Birmingham, AL 35233
Phone (205) 325-8387

700 18th St S
Ste 406
Birmingham, AL 35233

700 18th St S
Ste 601
Birmingham, AL 35233
Phone (205) 325-8507

700 18th St S
Ste 707
Birmingham, AL 35233
Phone (205) 918-0047

1655 E Highway 50
Ste 202
Clermont, FL 34711
Phone (352) 242-0204

137 Patterson Rd
Haines City, FL 33844
Phone (407) 254-0005

2815 Lakeland Hills Blvd
Ste 200
Lakeland, FL 33805
Phone (863) 297-5400

5233 US 27 N
Sebring, FL 33870
Phone (863) 345-4350

5233 US 27 N
Ste 1
Sebring, FL 33870

250 Avenue K SW
Ste 200
Winter Haven, FL 33880
Phone (863) 297-5400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: loganchristensen@direct-address.net

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, 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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1467891812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 AVENUE K SW STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803919",
            "telephone_number": "863-297-5400",
            "fax_number": "863-595-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 AVENUE K SW STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803919",
            "telephone_number": "863-297-5400",
            "fax_number": "863-595-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "LOGAN",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME138716",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "LL35687",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME138716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124088900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "loganchristensen@direct-address.net",
            "affiliation": "Y",
            "address_1": "250 Avenue K SW Ste 200",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338803919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.