LEGACY VISION PA (NPI# 1770769804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770769804 |
| Entity Type | Organization |
| Organization Name | LEGACY VISION PA |
| Practice Address |
6909 Coit Rd Suite 200 Plano TX 75024 |
| Practice Telephone | 9722085757 |
| Practice Fax Number | 9722085548 |
| Mailing Telephone | 9722085757 |
| Mailing Fax Number | 9722085548 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | TRISH E TODD (MANAGER) |
| Authorized Official Telephone | 9722085757 |
| Authorized Official Credential | ABOC |
| Is Organization Subpart | Y |
| Parent Organization Name | LEGACY VISION PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 03489TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 00825P | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Legacy Vision Partners, LLC | 4770 Farmingdale Drive, Colorado Springs, CO 80918 |
| Street Address |
6909 COIT RD SUITE 200 |
| City | PLANO |
| State | TX |
| Zip Code | 75024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053300624 | Kenneth Mathew Kirkland | Optometrist | 6909 Coit Rd, Ste 200, Plano, TX 75024-5468 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291773 | Central Vision Clinic | Optometrist | 2400 K Ave Ste 2400e, Plano, TX 75074-5942 | 2020-09-24 |
| 1316550411 | Drs Milburn-plano LLC | Optometrist | 1713 Preston Rd Ste A, Plano, TX 75093-5155 | 2020-08-28 |
| 1659921658 | Motiveyes Eye Care Pllc | Optometrist | 8621 Ohio Dr Ste 100, Plano, TX 75024-2264 | 2019-09-12 |
| 1245887975 | Amanda Raye Chamberlin | Optometrist | 4012 Preston Rd Ste 500, Plano, TX 75093-7351 | 2019-08-19 |
| 1720632573 | Daniel Max & Marcandrea LLC | Optometrist | 5049 N Central Expy, Plano, TX 75023-4701 | 2019-07-30 |
| 1558848648 | Kristina Ngoc-thuy Nhan | Optometrist | 1900 Preston Rd Ste 265, Plano, TX 75093-5203 | 2018-07-23 |
| 1326541087 | Robert M Birenbaum Od PC | Optometrist | 7500 Windrose Ave Ste B180, Plano, TX 75024-0163 | 2018-03-08 |
| 1932608601 | American Eyelabs LLC | Optometrist | 9708 Capilano Dr, Plano, TX 75025-6496 | 2018-02-07 |
| 1851804587 | Courtney Hazelwood Cates | Optometrist | 7140 Preston Rd Ste 300, Plano, TX 75024-3285 | 2017-11-16 |
| 1588191886 | Anita Jacob George | Optometrist | 3060 Communications Pkwy Ste 205, Plano, TX 75093-1629 | 2017-05-17 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.