Theodore Rex Legler II, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001572B Issued in IN

Practice address

219 E Washington St
Martinsville, IN 46151-1554

Phone

(765) 342-6654

Fax

(765) 342-0418

NPI assigned

Jul 15, 2005

Last updated

Oct 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1023017639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E WASHINGTON ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511554",
            "telephone_number": "765-342-6654",
            "fax_number": "765-342-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E WASHINGTON ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511554",
            "telephone_number": "765-342-6654",
            "fax_number": "765-342-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGLER",
        "first_name": "THEODORE",
        "middle_name": "REX",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001572B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200076560A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1679673495",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan R. Lacy, M.D.
• Thomas F Lahr, M.D.
• Melanie A. Lee, RPH
• Steve S Lee, RPH
• Curtis Andrew Legg, DC
• Andrea M Leonard
• Michelle Lewis
• Hualei Li, MD
• Jian Li, MD
• Kimberly Lynn Like, PMHNP-BC

• Optometrist in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.