Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN MARIE LOGAN, ABOC
Active Sole ProprietorKRISTEN MARIE LOGAN, ABOC is a Optician, Dispensing healthcare provider located in DODGEVILLE, Wisconsin. NPI 1851198550 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · DODGEVILLE, WI
Registration Details
- NPI Number
- 1851198550
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 28, 2025 (1.4675221938445 yrs)
- Last Updated
- Feb 28, 2025
- License
-
235531 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
601 E LEFFLER STDODGEVILLE, WI, 535332123Browse WI providers · Browse ZIP 53533
- Phone
- 6089357452
- Fax
- 6089357454
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.