Active NPI
Tamara Legg, OD
- Optometrist
- Edina, MN
National Provider Identifier
1275887309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3309
- Practice address
- 2195 Southdale Shopping Center
Edina, MN 55435 - Phone
- (952) 920-8607
- Fax
- (952) 920-8762
- NPI assigned
- Oct 26, 2012
- Last updated
- Apr 24, 2017
- Sex
- Female
- 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 | 3309 | MN | Primary |
Addresses
Primary practice location
2195 Southdale Shopping Center
Edina, MN 55435
Mailing address
2195 Southdale Shopping Center
Edina, MN 55435
Phone (952) 920-8607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- New England College of Optometry, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3553 Hennepin Ave
Minneapolis, MN 55408-3830
Phone (612) 822-5844
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uptown Vision Clinic, PA | Optometrist | Current | Accepting new patients |
Locations
3553 Hennepin Ave
Minneapolis, MN 55408
Phone (612) 822-5844
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1275887309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 SOUTHDALE SHOPPING CENTER",
"city": "EDINA",
"state": "MN",
"postal_code": "55435",
"telephone_number": "952-920-8607",
"fax_number": "952-920-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 SOUTHDALE SHOPPING CENTER",
"city": "EDINA",
"state": "MN",
"postal_code": "55435",
"telephone_number": "952-920-8607",
"fax_number": "952-920-8762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGG",
"first_name": "TAMARA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-26",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.