NPIMap

Organization Active NPI

Legarreta Eye Center

  • Optometrist
  • Williamsville, NY
National Provider Identifier
1033304597
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
124124 Issued in NY
Legal business name
LEGARRETA EYE CENTER
Practice address
1301 N Forest Rd
Williamsville, NY 14221-3277
Phone
(716) 633-2203
Fax
(716) 633-7738
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Edward Andrew Legarreta, M.D.
Title
Ophthalmogist/Owner of Practice
Phone
(716) 668-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 124124 NY Primary

Addresses

Primary practice location

1301 N Forest Rd
Williamsville, NY 14221-3277

Mailing address

1301 N Forest Rd
Williamsville, NY 14221-3277
Phone (716) 633-2203

Other identifiers 2

IdentifierTypeStateIssuer
00624162MedicaidNY
075292OtherNYLEGACY NUMBER

National Provider Directory

National Provider Directory

Locations

667 Davison Rd
Lockport, NY 14094
Phone (716) 433-0091

1301 N Forest Rd
Williamsville, NY 14221
Phone (716) 633-2203

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1033304597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N FOREST RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213277",
            "telephone_number": "716-633-2203",
            "fax_number": "716-633-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N FOREST RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213277",
            "telephone_number": "716-633-2203",
            "fax_number": "716-633-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGARRETA EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "LEGARRETA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OPHTHALMOGIST/OWNER OF PRACTICE",
        "authorized_official_telephone_number": "716-668-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "124124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00624162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY NUMBER",
            "identifier": "075292",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.