Organization
LOGAN OPTOMETRICS, INC.
Active
Other names
PICO OPTOMETRY
Organization subpart
No
Provider details
NPI number
Authorized official
MAIYA LOGAN D.O. (OWNER)
(310) 276-1702
Entity
Organization
Contact information
Practice address
9186 W PICO BLVD, LOS ANGELES, CA 90035-1320
(310) 276-1702
(310) 276-9715
Mailing address
9186 W PICO BLVD, LOS ANGELES, CA 90035-1320
(310) 276-1702
(310) 276-9715
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPT 10365 TPA
CA
Other
Enumeration date
01/02/2014
Last updated
04/16/2014
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