LOGAN JOSE GRANERA – Optometrist, NPI 1306354147

LOGAN JOSE GRANERA is a healthcare provider. based in Fort madison, Iowa. specializing in OPTOMETRY. They hold a License No. 092219 (IA). The NPI Number for LOGAN JOSE GRANERA is 1306354147

Main info

Male
8 Years Of Experience
Name
LOGAN JOSE GRANERA
NPI
1306354147
Phone
(319) 754-2020
Address
2235 Avenue L
Enumeration Date
15 January 2018
Last Update Date
14 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3197542020
Graduation Year
2018 (8 years ago)
PAC ID
5698021038
Group Practice PAC ID
5597659151
Professional Enrollment ID
I20180627002764
Address ID
IA526012137BU2743XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Provider Addresses for LOGAN JOSE GRANERA

  • 2235 Avenue L

    Fort Madison, IA 526274008

    Phone: (319) 754-2020

    Type: Location

  • 2000 S Main St

    Fairfield, IA 525569572

    Phone: (319) 754-2020

    Type: Location

  • 2025 Main St

    Keokuk, IA 526323225

    Phone: (319) 754-2020

    Type: Location

  • American Eyecare Center, 2743, Mount Pleasant Street, Burlington, Des Moines County, Iowa, 52601, United States

    BURLINGTON, IA 526012137

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2024-04-06 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($78).

Total Amount

$106

General + Research + Ownership

Payments

3

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180627002764IOptometryIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system184184$0
99213Established patient office or other outpatient visit, 20-29 minutes150102$0
92250Photography of the retina9188$0
92004New patient complete exam of visual system6464$0
92083Exam of visual field with extended testing4844$0
View full utilization report →

Insurance plans in this area (ZIP 52627)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597659151View full group profile
NameSpecialtyState
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA

Reviews

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Frequently asked questions

What unique ID ties claims to LOGAN JOSE GRANERA?
NPI 1306354147 is assigned to LOGAN JOSE GRANERA under the national enumeration system.
Is LOGAN JOSE GRANERA currently active in the NPI registry?
CMS-published data lists LOGAN JOSE GRANERA as an active registrant.
What field does LOGAN JOSE GRANERA work in?
You can think of LOGAN JOSE GRANERA as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for LOGAN JOSE GRANERA?
The page summarizes Fort Madison, Iowa for LOGAN JOSE GRANERA; expand the address list for detail.
What if Fort Madison, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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