Jazmin A Logendra, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003113 Issued in PA

Practice address

100 E Lehigh Ave
Suite 201
Philadelphia, PA 19125-1012

Phone

(215) 634-6563

NPI assigned

Jul 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

New England College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marvin H. Greenbaum, M.D. PCGroup PAC ID 3577500354, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

65.4 of 100Reported as group

Quality

100

Promoting interoperability

0

Improvement activities

40

Cost

67.98

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jlogendra@balaeye.emadirect.md

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.

• Marvin H. Greenbaum, M.D. PC

  • Ophthalmology Physician
  • Bala Cynwyd, PA
  • NPI 1154438521
  Medicare reassignment Care Compare group NPD
• Mayfair Eye Associates, PC

  • Optometrist
  • Philadelphia, PA
  • NPI 1225251168
  Medicare reassignment NPD
• Tus Ojos Inc

  • Optometrist
  • Philadelphia, PA
  • NPI 1831291814
  Medicare reassignment NPD
• Baylor College of Medicine

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1457423949
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1689873465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVE",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVE",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251012",
            "telephone_number": "215-634-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGENDRA",
        "first_name": "JAZMIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003113",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG003113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00871448",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gayle Vence Logan, MA,LMSW,LPC
• Jade Logan, PH.D., ABPP
• Jennifer B Logan, MD
• Roxanne Yolanda Logan, LCSW
• Susan Logan, CRNA
• Logic Eyecare Inc
• Lia S Logio, MD
• Logos Medical Supply Inc.
• Mia Logsdon, PA-C
• Susan Logsdon, LSW, M. ED

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.