IndividualActive
Logan Davis
NPI 1679337760 · Optician · Kansas City, MO
Provider details
- NPI number
- 1679337760
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2321 Troost Ave
Kansas City, MO 64108-2834
Phone: (402) 957-7891
Fax: (402) 939-0704
Approximate (ZIP-level) locationGet directions
Mailing address
2321 Troost Ave
Kansas City, MO 64108-2834
Registry dates
- Enumerated
- 2024-02-08
- Last updated
- 2024-02-08
- Certified
- 2024-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.