Kristen Marie Logan, ABOC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

235531 Issued in WI

Practice address

601 E Leffler St
Dodgeville, WI 53533-2123

Phone

(608) 935-7452

Fax

(608) 935-7454

NPI assigned

Feb 28, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1851198550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E LEFFLER ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535332123",
            "telephone_number": "608-935-7452",
            "fax_number": "608-935-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E LEFFLER ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535332123",
            "telephone_number": "608-935-7452",
            "fax_number": "608-935-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "ABOC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WI",
            "license": "235531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jared Harris Linebarger, M.D.
• Donna J Lowe, RN
• Lance Maerz, MS, RCEP, CCRP
• Wendy Ann Marr-Smith
• Sarah Archana Martin, DDS
• Mat Recovery Centers LLC

• Optician in Dodgeville, WI
• Providers in Dodgeville, WI by specialty
• Optician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.