# AZUL VISION INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** AZUL VISION
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285247528
- **Authorized official:** DWAYNE KEITH LOGAN MD (MD/CEO)
- **Authorized official phone:** (714) 399-0678

## Contact information

- **Practice address:** 2619 E COLORADO BLVD \# 150, PASADENA, CA 91107-3747
- **Practice address phone:** (626) 793-4168
- **Mailing address:** 14726 RAMONA AVE STE 203, CHINO, CA 91710-5730
- **Mailing address phone:** (626) 305-9100
- **Mailing address fax:** (626) 305-0152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | — | NULL | — |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | — | — | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | — |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | NULL | — |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | — | — |
| 207WX0120X | Cornea and External Diseases Specialist Physician | — | NULL | — |
| 207WX0120X | Cornea and External Diseases Specialist Physician | — | — | — |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/26/2020
- **Last updated:** 10/08/2026