DRS Logan & Bailey Optometrists Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DRS LOGAN & BAILEY OPTOMETRISTS INC

Practice address

2517 E Main St
Richmond, IN 47374-5867

Phone

(765) 966-2661

Fax

(765) 965-4789

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Jerry W Logan, ODNPI 1043370125

Title

Optometrist

Phone

(765) 966-2661

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry W Logan, OD

  • Optometrist
  • Richmond, IN
  • NPI 1043370125
  Medicare reassignment NPD Authorized official
• Max E Bailey, OD

  • Optometrist
  • Richmond, IN
  • NPI 1679631006
  Medicare reassignment NPD
• George Bagay, OD

  • Optometrist
  • Richmond, IN
  • NPI 1013800788
  NPD
• Kennedy Reed, OD

  • Optometrist
  • Muncie, IN
  • NPI 1801534268
  NPD

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1962568709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745867",
            "telephone_number": "765-966-2661",
            "fax_number": "765-965-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745867",
            "telephone_number": "765-966-2661",
            "fax_number": "765-965-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS LOGAN & BAILEY OPTOMETRISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "765-966-2661",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100256470A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Douglas
• Kelly Gene Doyle, NBC-HIS
• Dr. Brian J. Altman & Associates, P.C.
• Dr. Reising and Burkhart
• Horia Draghiciu, MD
• DRS. Bode & Hartman PC
• William M Ducey, M.D.
• Katherine Duffy
• Marianne E Duke, NP-C
• Thomas A Duncan, DO

• Optometrist in Richmond, IN
• Providers in Richmond, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.