| Logan Oliver, OD | |
|
18 Grayson St, Sparta, NC 28675-6006 | |
| (336) 372-4493 | |
| (336) 372-2035 |
| Full Name | Logan Oliver |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 10 Years |
| Location | 18 Grayson St, Sparta, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467907063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2461 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alleghany County Memorial Hospital | Sparta, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oliver Optometric Eye Care | 3971885443 | 3 |
| Provider Name | Oliver Optometric Eye Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629528104 PECOS PAC ID: 3971885443 Enrollment ID: O20170117002039 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Oliver, OD 18 Grayson St, Po Box 1119, Sparta, NC 28675-6006 Ph: (336) 372-4493 | Logan Oliver, OD 18 Grayson St, Sparta, NC 28675-6006 Ph: (336) 372-4493 |
Oliver Optometric Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 18 Grayson St, Sparta, NC 28675 Phone: 336-372-4493 Fax: 336-372-2035 | |
Cape Fear Optometric Clinic Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 665 S Main St, Sparta, NC 28675 Phone: 336-372-2253 | |
Keith Oliver Dr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18 S Grayson St, Sparta, NC 28675 Phone: 336-372-4493 Fax: 336-372-2035 |