Legacy Eye Institute PLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LEGACY EYE INSTITUTE PLC

Practice address

811 East St
Lapeer, MI 48446-3033

Phone

(810) 267-9700

Fax

(810) 356-5819

NPI assigned

Dec 19, 2019

Organization subpart

No

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

Authorized official

Name

Athear Alrawi, MDNPI 1477631141

Title

Doctor/Owner

Phone

(248) 229-8436

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Legacy Eye Institute PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy Eye Institute PLC

  • Ophthalmology Physician
  • Lapeer, MI
  • NPI 1447899273
  NPD tax ID

Practitioners 1

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

• Athear M. Alrawi, MD

  • Ophthalmology Physician
  • Lapeer, MI
  • NPI 1477631141
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1114565249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 EAST ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463033",
            "telephone_number": "810-267-9700",
            "fax_number": "810-356-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 EAST ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463033",
            "telephone_number": "810-267-9700",
            "fax_number": "810-356-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY EYE INSTITUTE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "ALRAWI",
        "authorized_official_first_name": "ATHEAR",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "248-229-8436",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11810958",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "legacyeyeinstitute@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "811 East St",
            "city": "Lapeer",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484463033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Regina Annette Lawton
• John M Leach
• Claudia Leandres, PHD,BCBA-D
• Simon Duwayne Lebeau
• Ernest Weaver Lefever, DPM
• Legacy Eye Institute PLC
• Youlanda M Leidlein, LMSW-CSW
• William J Leix, LBSW
• Amanda Lemke
• Paul D Lepor, DO

• Ophthalmology Physician in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.