Individual provider Active NPI

Brandy Leah Leger, O.D.

  • Optometrist
  • Hammond, LA
National Provider Identifier
1104139757
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1592-625T Issued in LA
Practice address
17170 S I 12 Service Rd
Hammond, LA 70403-2408
Phone
(985) 375-1111
Fax
(985) 542-0733
NPI assigned
Jul 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1592-625T LA Primary

Addresses

Primary practice location

17170 S I 12 Service Rd
Hammond, LA 70403-2408

Mailing address

17170 S I 12 Service Rd
Hammond, LA 70403-2408
Phone (985) 375-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100825001178 LA Practitioner - Optometry 6507980687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Slidell Eye Specialists ApmcGroup PAC ID 9830249846, 4 clinicians

Practice addresses (Care Compare)

2053 Gause Blvd E
Suite 100
Slidell, LA 70461-5452
Phone (985) 649-0206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Slidell Eye Specialists, Apmc CurrentSince Oct 1, 2019 Accepting new patients
Northshore Eye Associates LLC CurrentSince Aug 15, 2010 Accepting new patients
Slidell Eye Specialists, Apmc Optometrist CurrentSince Oct 1, 2019 Accepting new patients

Locations

17170 S I 12 Service Rd
Hammond, LA 70403
Phone (985) 375-1110

2053 Gause Blvd E
Ste 100
Slidell, LA 70461
Phone (985) 649-0206

2050 Gause Blvd E
Ste 150
Slidell, LA 70461
Phone (985) 649-0206

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: bleger@les.intellechartdirect.net

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": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1104139757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17170 S I 12 SERVICE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032408",
            "telephone_number": "985-375-1111",
            "fax_number": "985-542-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17170 S I 12 SERVICE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032408",
            "telephone_number": "985-375-1111",
            "fax_number": "985-542-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGER",
        "first_name": "BRANDY",
        "middle_name": "LEAH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1592-625T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.