Eye Pros of Logan LLC

NPI #1043702046 in Logan, Utah

Provider Information

NPI Number: 1043702046
Entity Type: Organization
Organization Name: Eye Pros of Logan LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 5, 2018
Last Updated: Feb 22, 2021

Practice Location

Address: 1475 N MAIN ST STE 103
City: Logan
State: Utah
ZIP Code: 84341
Phone: (208) 501-8222

Authorized Official

Name: MR. LAVAR WENDELL KOFOED, OD
Title: OWNER
Phone: (208) 447-9965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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