Marty R Leggett OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2242 Issued in FL

Legal business name

MARTY R LEGGETT OD PA

Practice address

309 W Main St.
Leesburg, FL 34748

Phone

(352) 391-2967

Fax

(352) 391-2967

NPI assigned

Dec 11, 2007

Organization subpart

Yes

Parent organization

MARTY R. LEGGETT, O.D.As reported in NPPES

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

Authorized official

Name

Dr. Marty R Leggett, OD

Title

Owner

Phone

(352) 391-2967

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Marty R Leggett OD PA

Locations

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1275716433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 490012",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347490012",
            "telephone_number": "352-391-2967",
            "fax_number": "352-391-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W MAIN ST.",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-391-2967",
            "fax_number": "352-391-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTY R LEGGETT OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTY R. LEGGETT, O.D.",
        "enumeration_date": "2007-12-11",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "LEGGETT",
        "authorized_official_first_name": "MARTY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-391-2967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OC0002242",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078819800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Martin
• Alisha Martin, PHARMD
• Ashley Shamsa Martin
• Nidsa I Martir Cruz, MD
• Linda Marts
• Brijesh Suresh Maru, BPHARM,MS
• Isabella C Marulanda, LMHC
• Mary Ann Tesalona MD Corp
• Douglas J Mason, PSYD
• Massage and Wellness Care

• Optometrist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.