Individual provider Active NPI

Meagan Nicole Legrand, OD

  • Optometrist
  • League City, TX
National Provider Identifier
1003339755
Registry record updated Aug 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9170T Issued in TX
Practice address
3725 E League City Pkwy Ste 100
League City, TX 77573-7373
Phone
(281) 305-1609
Fax
(281) 305-1699
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9170T TX Primary

Addresses

Primary practice location

3725 E League City Pkwy Ste 100
League City, TX 77573-7373

Mailing address

3725 E League City Pkwy Ste 100
League City, TX 77573-7373
Phone (281) 305-1609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814001002 TX Practitioner - Optometry 1254602030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3725 E League City Pkwy
100 League City Eyecare and Eyewear
League City, TX 77573-7373
Phone (281) 305-1609

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9170TXMDChiropractor
9170TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah S. Bernay OD PC Optometrist CurrentSince Aug 1, 2018 Accepting new patients
Meagan Legrand, O.D., PLLC Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Jed Lee Howard PA PastSince Jun 24, 2017 Accepting new patients

Locations

401 W Fairmont Pkwy
Ste A
La Porte, TX 77571
Phone (281) 471-6546

3725 E League City Pkwy
Ste 100
League City, TX 77573
Phone (281) 305-1609

Interoperability endpoints

  • Direct secure messaging: meagan.legrand@uprisedirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1003339755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 E LEAGUE CITY PKWY STE 100",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737373",
            "telephone_number": "281-305-1609",
            "fax_number": "281-305-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 E LEAGUE CITY PKWY STE 100",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737373",
            "telephone_number": "281-305-1609",
            "fax_number": "281-305-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGRAND",
        "first_name": "MEAGAN",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9170T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.