Active NPI
Nathaniel James Leggett, O.D.
- Optometrist
- Canton, OH
National Provider Identifier
1144222613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5221
- Practice address
- 4822 Cleveland Ave S
Canton, OH 44707-1034 - Phone
- (330) 484-2569
- Fax
- (330) 236-8188
- NPI assigned
- Aug 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5221 | OH | Primary |
Addresses
Primary practice location
4822 Cleveland Ave S
Canton, OH 44707-1034
Mailing address
4822 Cleveland Ave S
Canton, OH 44707-1034
Phone (330) 484-2569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2714414 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4822 Cleveland Ave S
Canton, OH 44707-1034
Phone (330) 484-2569
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5221 | OH | MD | Clinical Psychologist |
Organizations & group practices 1
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.
-
- Optometrist
- Canton, OH
- NPI 1447472329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1144222613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4822 CLEVELAND AVE S",
"city": "CANTON",
"state": "OH",
"postal_code": "447071034",
"telephone_number": "330-484-2569",
"fax_number": "330-236-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4822 CLEVELAND AVE S",
"city": "CANTON",
"state": "OH",
"postal_code": "447071034",
"telephone_number": "330-484-2569",
"fax_number": "330-236-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGGETT",
"first_name": "NATHANIEL",
"middle_name": "JAMES",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-13",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2714414",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.