Logan Thompson Mitchell, O.D.
Optometrist in Baker City, OR. Individual provider (NPI-1).
NPI number1831401967
StatusActive
Last updated in NPPESJul 6, 2010
Details
- NPI
- 1831401967
- Entity type
- Individual (NPI-1)
- Name
- Logan Thompson Mitchell
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2010
- Last updated
- Jul 6, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3375ATI | OR | Yes |
Practice location
2150 3rd StBaker City, OR 97814-2609
Phone 541-523-5858 · Fax 541-523-7652
Mailing address
3325 9th DrBaker City, OR 97814-1525
Phone 503-314-3561
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