Eye Pros of Logan LLC
NPI 1043702046ActiveOrganization· Optometrist· Logan, UT
Optometrist in Logan, Utah, registered in NPPES in June 2018. The authorized official on file is Lavar Wendell Kofoed, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043702046 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 5, 2018 |
| Last updated in NPPES | Feb 22, 2021 |
| Certified by provider | Feb 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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