Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LOGAN KALE BANISTER, O.D.
Active Sole ProprietorOptometrist · DERBY, KS
Registration Details
- NPI Number
- 1154551828
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2009 (16.76385151757 yrs)
- Last Updated
- Aug 28, 2009
- License
-
1856 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1626 E MADISON AVEDERBY, KS, 670372076Browse KS providers · Browse ZIP 67037
- Phone
- 3167881535
- Fax
- 3167881596
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in DERBY, KS
| Name | Credential | NPI |
|---|---|---|
| DANIEL A GILLOGLY | OD | 1912975855 |
| DR. LAURA A BRANSTETTER | OD | 1366494049 |
| DR. JENNIFER LYNN CARR | DOCTOR OF OPTOMETRY | 1770507162 |
| MINDY L ABBEY | OD | 1891890414 |
| DR. WADE D ABBEY | OD | 1437254059 |
| DR. RYAN MICHAEL MCNETT | OD | 1346379088 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.