Individual
AMY BROOKE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1716 UNIVERSITY BLVD, G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Mailing address
3346 WESTMORELAND DR, ROANOKE, VA 24018-3635
(256) 310-2032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002666
VA
152W00000X
Optometrist
Primary
S-E10-TA-B46
AL
Other
Enumeration date
06/21/2018
Last updated
05/06/2026
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