Mary E Leazure, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5198TG Issued in TX

Practice address

906 W McDermott Dr Ste 120
Allen, TX 75013-5424

Phone

(972) 396-2021

Fax

(972) 396-0242

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Modern Family Vision

  • Optometrist
  • Allen, TX
  • NPI 1336313592
  Medicare reassignment NPD Authorized official
• Ophthalmic Partners, PA

  • Ophthalmology Physician
  • Granbury, TX
  • NPI 1568541712
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104835693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W MCDERMOTT DR STE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135424",
            "telephone_number": "972-396-2021",
            "fax_number": "972-396-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W MCDERMOTT DR STE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135424",
            "telephone_number": "972-396-2021",
            "fax_number": "972-396-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAZURE",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5198TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Le Salveo Care Corp
• Jacqueline Nga Le, D.O.
• Nam Hoai Le, M.D.
• Young Mi Le, D.C.
• Bria Leatch
• Caroline Leclair
• Alysha Linnette Lecuyer, PTA
• Lee Health Care Services LLC
• Bryant Lee, D.M.D.
• Ellen Chiao Lee, M.D.

• Optometrist in Allen, TX
• Providers in Allen, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.