1700964145 NPI number — DR. KATHRYN ANN LOGVIN O. D.

Table of content: DR. KATHRYN ANN LOGVIN O. D. (NPI 1700964145)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700964145 NPI number — DR. KATHRYN ANN LOGVIN O. D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOGVIN
Provider First Name:
KATHRYN
Provider Middle Name:
ANN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O. D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700964145
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4668 TOWN CROSSING DR
Provider Second Line Business Mailing Address:
SUITE 143
Provider Business Mailing Address City Name:
JACKSONVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32246-7421
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-641-1684
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4668 TOWN CROSSING DR
Provider Second Line Business Practice Location Address:
SUITE 143
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32246-7421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-641-1684
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  2244 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 152W00000X , with the licence number: 3497 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: FL2244 . This is a "EYEMED VISION INSURANCE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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