Logan Jose Granera
Logan Jose Granera is an Optometry in Burlington, Iowa. Qualified in 2018, 8 years ago. Practices with Mt Vernon Eye Clinic PLC, a 4-clinician group and works from 4 locations. Licensed in Iowa.
- Years since qualifying
- 8
- Licensed in
- IA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2743 Mount Pleasant StBurlington, IA 52601
Phone: (319) 754-2020
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 2000 S Main St, Fairfield, IA 52556-9572 — (319) 754-2020
- 2235 Avenue L, Fort Madison, IA 52627-4008 — (319) 754-2020
- 2025 Main St, Keokuk, IA 52632-3225 — (319) 754-2020
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 092219 (IA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1306354147 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 15, 2018 |
| Last updated in NPPES | June 14, 2018 |
| Mailing address | 2743 Mount Pleasant St, Burlington, IA 52601-2137 |
Medicare enrollment
| Medicare specialty | OPTOMETRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Mt Vernon Eye Clinic Plc — 4 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
Other providers in Burlington
-
Abigail Anne Granera
2743 Mount Pleasant St, Burlington, IA 52601 · (319) 754-2020