Active NPI
Raymond J Legen, O.D.
- Optometrist
- Durham, NC
National Provider Identifier
1154470201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 958
- Practice address
- 5108 N Roxboro St
Durham, NC 27704-1420 - Phone
- (919) 477-9113
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 958 | NC | Primary |
Addresses
Primary practice location
5108 N Roxboro St
Durham, NC 27704-1420
Mailing address
12720 Lindley Dr
Raleigh, NC 27614-9669
Phone (919) 846-0991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 958 | NC | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald J Digby MD PA | Past | Accepting new patients | |
| Upchurch Optical | Past | Accepting new patients | |
| Donald J Digby MD PA | Optometrist | Past | Accepting new patients |
| Upchurch Drug Corporation | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Specialist
- High Point, NC
- NPI 1649232620
-
- Community/Retail Pharmacy
- Durham, NC
- NPI 1518005545
-
- Eyewear Supplier
- Durham, NC
- NPI 1215080114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154470201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12720 LINDLEY DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276149669",
"telephone_number": "919-846-0991",
"fax_number": "919-870-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 N ROXBORO ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041420",
"telephone_number": "919-477-9113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGEN",
"first_name": "RAYMOND",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.