Logan Thomas Powers, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002634 Issued in AZ

Practice address

9424 N 25TH Ave
Phoenix, AZ 85021-2714

Phone

(602) 633-6900

NPI assigned

Jul 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC, ME3 enrollments

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 3

Specialty

Optometry

Education

Indiana University - School of Optometry, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Katahdin Valley Health CenterGroup PAC ID 4880659903, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7377/brand/1/csg/1/fhir/r4
• Direct secure messaging: logan.powers.1@7377.direct.athenahealth.com

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.

• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Houlton, ME
  • NPI 1376618546

  ME

  Medicare reassignment Care Compare group
• Glaucoma Consultants of Washington, Inc.

  • Ophthalmology Physician
  • Herndon, VA
  • NPI 1962671818

  DC, VA

  Medicare reassignment NPD
• Glaucoma Consultants of Washington, Inc.

  • Ophthalmology Physician
  • Herndon, VA
  • NPI 1073782777
  NPD
• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Millinocket, ME
  • NPI 1003034406
  NPD
• Katahdin Valley Health Center

  • Community/Retail Pharmacy
  • Brownville, ME
  • NPI 1699479311
  NPD
• Daniel Poth, O.D. and Associates, P.C.

  • Eyewear Supplier
  • Alexandria, VA
  • NPI 1063454460

  Optometrist

  NPD (past)
• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Patten, ME
  • NPI 1669450524
  NPD (past)

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674950400000",
    "number": "1629630439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 N 25TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212714",
            "telephone_number": "602-633-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9424 N 25TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212714",
            "telephone_number": "602-633-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "LOGAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002875",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006804",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana R Powers, LMSW
• John Michael Powers, M.D.
• Karen A Powers, FNP
• Kathleen Powers, MD
• Katterina Powers, PSY.D, ABSNP, NCSP
• Madeline Irene Powers, CNM
• Megan Grace Powers, PA
• Ryan James Powers, DO
• Trey Powrzanas, NURSE PRACTITIONER
• Sylvia Pozo

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.