Legacy Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1969 Issued in KS

Legal business name

LEGACY EYECARE INC

Practice address

100 W Kansas Ave Ste 202
McPherson, KS 67460-4755

Phone

(620) 241-5810

NPI assigned

Aug 28, 2015

Organization subpart

No

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

Authorized official

Name

Mark A Abrahams, ODNPI 1497160832

Title

Owner

Phone

(620) 241-5810

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Andrew Abrahams, O.D.

  • Optometrist
  • McPherson, KS
  • NPI 1497160832
  Medicare reassignment Care Compare group NPD Authorized official
• Aaron Johnson, OD

  • Optometrist
  • Hesston, KS
  • NPI 1255959433
  Medicare reassignment Care Compare group NPD
• Robert J Arnold, O.D.

  • Optometrist
  • McPherson, KS
  • NPI 1871553412
  NPD (past)

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1154798858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W KANSAS AVE STE 202",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674604755",
            "telephone_number": "620-241-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W KANSAS AVE STE 202",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674604755",
            "telephone_number": "620-241-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-241-5810",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Labertew, MS CCC-SLP
• Lakeside Home Plus LLC
• Elizabeth L Lansdowne, DPT
• Nickia B Larsen
• James Ray Larzalere, MD
• Mary Virginia Cobb Lemon, LSCSW
• Dan Merlin Lichty, MD
• Norma Kathryn Linde, APRN
• Julie Lister
• Charlotte Loewen, LSCSW

• Optometrist in McPherson, KS
• Providers in McPherson, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.