| NPI | 1619109147 |
|---|---|
| Doing Business As | LOGAN EYE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | THAD DUSTIN WELLS Optometrists/Owner 270-726-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1770DT) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2010-01-20 |