Look up the most recent NPI and PECOS records

Logan Anway

Optometrist

Eye and Vision Services Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Logan Anway is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1164216172
Provider Type
Individual
Full Name
Anway, Logan
Gender
Male

Sole Proprietor
No
Enumeration Date
4/7/2025
Last Updated
6/3/2025

Contact Information

Practice Location

265 N Liberty St, Powell, OH 43065-8870

(614) 793-0700

Unlisted Fax

Mailing Location

265 N Liberty St, Powell, OH 43065-8870

(614) 793-0700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License OPT.007379 Ohio
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Logan Anway

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Cooley, San-San

Dr. D. Michael Dopkiss And Assoc. Inc.

Wizard Of Eyes, Inc

Young, Megan Suzanne

Theis, Kimberly S

Mathews, Jody Lea

Ford, Samantha Kaye

Mayers Eye Solutions Llc

Kuhlmann, Tamara Mault

Miller, Jason Richard