Individual
LOGAN ANWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 N LIBERTY ST, POWELL, OH 43065-8870
(614) 793-0700
Mailing address
265 N LIBERTY ST, POWELL, OH 43065-8870
(614) 793-0700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007379
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2025
Last updated
06/03/2025
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