Provider Demographics
NPI:1871757971
Name:LOGAN OPTICIANS INC
Entity type:Organization
Organization Name:LOGAN OPTICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LOGAN
Authorized Official - Last Name:DELINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LDO ABOC
Authorized Official - Phone:706-543-7222
Mailing Address - Street 1:740 PRINCE AVENUE
Mailing Address - Street 2:BUILDING 15
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606
Mailing Address - Country:US
Mailing Address - Phone:706-543-7222
Mailing Address - Fax:
Practice Address - Street 1:740 PRINCE AVENUE
Practice Address - Street 2:BUILDING 15
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606
Practice Address - Country:US
Practice Address - Phone:706-543-7222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA850156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty