EYE PROS
NPI 1043702046
Optometrist in Logan, UT
About Eye Pros NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EYE PROS (NPI 1043702046) is a healthcare organization registered as an optometrist in Logan, Utah and active in the NPI registry since June 2018. The organization maintains a secondary practice location in Boise and lists Lavar Wendell Kofoed, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eye Pros is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Eye Pros, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eye Pros Of Logan LLC's NPI number?
The NPI number for Eye Pros Of Logan LLC is 1043702046. It was assigned to this organization in the NPPES registry on June 5, 2018. The provider is doing business as Eye Pros.
Where is Eye Pros Of Logan LLC located?
Eye Pros Of Logan LLC is located at 1475 N Main St Ste 103, Logan, UT 84341. The listed phone number is (208) 501-8222.
What is Eye Pros Of Logan LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Eye Pros Of Logan LLC enrolled in Medicare?
Yes. Eye Pros Of Logan LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eye Pros Of Logan LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Optometry, reassign their Medicare billing to Eye Pros Of Logan LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Eye Pros Of Logan LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Eye Pros Of Logan LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Eye Pros Of Logan LLC was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eye Pros · NPI 1043702046
Optometrist organization in Logan, Utah. Organization record, active in the CMS NPPES registry since June 5, 2018.
## Identity
- **NPI:** 1043702046 (Entity type: Organization)
- **Enumerated:** June 5, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Eye Pros Of Logan Llc
- **Organization subpart:** No
- **Authorized official:** Lavar Kofoed, OWNER
## Practice location
- **Address:** 1475 N MAIN ST STE 103, Logan, UT 84341
- **Phone:** (208) 501-8222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043702046) · Data from the CMS NPPES public registry.