Logan Gaughan

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG004186 Issued in PA

Practice address

576 Centerville Rd
Lancaster, PA 17601-1306

Phone

(717) 276-7066

NPI assigned

Jul 10, 2024

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Pennsylvania College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yealy Eye LLCGroup PAC ID 0749507754, 6 clinicians

Yealy Eye Centerville LLCGroup PAC ID 3375911944, 6 clinicians

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.

• Yealy Eye Centerville LLC

  dba Yealy Eye Care & Dry Eye Center of Lancaster

  • Optometrist
  • Lancaster, PA
  • NPI 1891443057
  Medicare reassignment Care Compare group NPD
• Yealy Eye, LLC

  dba Yealy Eye Care and Dry Eye Center of Lancaster

  • Optometrist
  • Lancaster, PA
  • NPI 1700276656
  Medicare reassignment Care Compare group NPD
• Yealy Eye East York, LLC

  dba Yealy Eye Care & Dry Eye Center of York

  • Optometrist
  • York, PA
  • NPI 1215695994
  Medicare reassignment NPD
• Delaware Valley Vision Associates Group Practice, LLC

  • Ophthalmology Physician
  • King of Prussia, PA
  • NPI 1902907371
  NPD (past)

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1700623444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 CENTERVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011306",
            "telephone_number": "717-276-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 CENTERVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011306",
            "telephone_number": "717-276-7066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1567 Fruitville Pike Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014016",
            "country_code": "US",
            "telephone_number": "717-455-3746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUGHAN",
        "first_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Lynn Gaston, M.S., CCC-SLP
• Sharon E. Gates, LSW
• Thomas Gates, MD
• Gaudenzia Inc
• Gaudenzia Inc
• Fiona Marie Gaunay, M.D.
• Geoffrey Steven Gaunay, M.D.
• Wendy Gail Gaunt, LPC
• Dega Gautam
• Erin C Gauvain, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.