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LOGANNE TATJANA MIKKELSEN OD
NPI 1942027644
Optometrist - Vision Therapy in New York, NY

Active since September 24, 2024PECOS Enrolled
33 W 42ND ST, NEW YORK, NY 10036(212) 938-4000 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Loganne Tatjana Mikkelsen Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGANNE TATJANA MIKKELSEN OD (NPI 1942027644) is an individual vision therapy provider in New York, New York, licensed in New York (011065) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942027644
Entity TypeIndividualFemale
Primary Taxonomy152WV0400X
Provider Legal NameLOGANNE TATJANA MIKKELSENCredential: OD
Location Address33 W 42ND STNew York, NY 10036-8005
Mailing Address33 W 42nd StNew York, NY 10036-8005
Phone(212) 938-4000
Sole ProprietorYes
Enumeration DateSeptember 24, 2024
NPPES CertifiedSeptember 24, 2024
✔ NPI 1942027644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License✔ Licensed in NY · 011065
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
33 W 42ND ST, New York, NY 10036
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Loganne Tatjana Mikkelsen Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIELLE BARI CRANE O.D.
Optometrist (Pediatrics)
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4001
DR. CORINNE E BLUM O.D.
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4001
GREGORI OSHEROV OD
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4000
EMILY CRANE
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4001
DR. TYBEE ELEFF O.D.
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4001
ELISABETH GRACE LAPPAN OD
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4001
SHAILA REDDY EMANI
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4000
DR. JENNIFER S HAN O.D.
Optometrist (Vision Therapy)
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-5836

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 Loganne Mikkelsen's NPI number?

The NPI number for Loganne Mikkelsen is 1942027644. It was assigned to this individual provider in the NPPES registry on September 24, 2024.

Where is Loganne Mikkelsen located?

Loganne Mikkelsen practices at 33 W 42nd St, New York, NY 10036. The listed phone number is (212) 938-4000.

What is Loganne Mikkelsen's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Loganne Mikkelsen enrolled in Medicare?

Yes. Loganne Mikkelsen is registered in the Medicare PECOS enrollment system.

What insurance does Loganne Mikkelsen accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Loganne Mikkelsen 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 Loganne Mikkelsen was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.