Logendra, Jazmin A
Logendra, Jazmin A is an individual health care provider with primary practice located at 100 E Lehigh Ave Suite 201, Philadelphia PA 19125-1012. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Logendra, Jazmin A can be contacted via phone (215) 634-6563.Contact Information
Primary practice address
100 E Lehigh Ave Suite 201
Philadelphia PA 19125-1012
Phone: (215) 634-6563
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG003113 | Pennsylvania |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | OEG003113 | Pennsylvania |
Profile Details
| NPI number | 1689873465 |
|---|---|
| LBN Legal business name | Logendra, Jazmin A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Feb 12th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689873465 | NPPES |
| Texas | Other | P00871448 | RAIL ROAD MEDICARE |
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