Individual provider Active NPI

Amanda S Legge, O.D.

  • Optometrist
  • Wyomissing, PA
National Provider Identifier
1275895138
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002606 Issued in PA
Practice address
50 Berkshire CT
Wyomissing, PA 19610-1219
Phone
(610) 374-3134
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002606 PA Primary

Addresses

Primary practice location

50 Berkshire CT
Wyomissing, PA 19610-1219

Mailing address

530 Lakeview Rd
White Haven, PA 18661-3050
Phone (570) 592-5467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120815000037 PA Practitioner - Optometry 9133375728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyomissing Optometric Center, Inc.Group PAC ID 3274427208, 6 clinicians

Practice addresses (Care Compare)

50 Berkshire CT
Wyomissing, PA 19610-1219
Phone (610) 374-3134

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wyomissing Optometric Center, Inc. Optometrist CurrentSince Jul 2, 2012 Accepting new patients

Locations

50 Berkshire Ct
Wyomissing, PA 19610
Phone (610) 334-1325

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.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1275895138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LAKEVIEW RD",
            "city": "WHITE HAVEN",
            "state": "PA",
            "postal_code": "186613050",
            "telephone_number": "570-592-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BERKSHIRE CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101219",
            "telephone_number": "610-374-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGE",
        "first_name": "AMANDA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.