Individual provider Active NPI

Melinda Sue Legg, O.D.

  • Optometrist
  • El Dorado, AR
National Provider Identifier
1306001847
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2608 Issued in AR
Practice address
2730 N West Ave
El Dorado, AR 71730-3124
Phone
(870) 862-8069
NPI assigned
Jul 24, 2008
Last updated
Sep 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 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 2608 AR Primary

Addresses

Primary practice location

2730 N West Ave
El Dorado, AR 71730-3124

Mailing address

PO Box 196
Junction City, AR 71749-0196
Phone (870) 862-8069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081023000270 AR Practitioner - Optometry 9335207133 Reassigns benefits to 1 organization
I20121022000288 LA Practitioner - Optometry 9335207133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 N Service Rd E
Ruston, LA 71270-2917
Phone (318) 251-2419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2608ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James Eyecare Center, Inc Optometrist CurrentSince Jul 25, 2019 Accepting new patients
Melinda Legg OD a Professional Optometry Corporation Optometrist CurrentSince Oct 1, 2012 Accepting new patients
W. Brent Hall, O.D. P.a. Optometrist PastSince Mar 9, 2012 Accepting new patients
Berryville Eyecare Clinic Optometrist PastSince Aug 1, 2009 Accepting new patients
Squires Optometry Optometrist Past Accepting new patients

Locations

16623 Cantrell Rd
Ste 2D
Little Rock, AR 72223
Phone 50177303124680

6411 Valley Ranch Dr
Little Rock, AR 72223
Phone (501) 687-0826

1812 Roselawn Ave
Monroe, LA 71201
Phone (318) 387-1602

1201 N Service Rd E
Ruston, LA 71270
Phone (318) 251-0392

303 McMillan Rd
West Monroe, LA 71291
Phone (318) 387-7257

Organizations & group practices 6

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1306001847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 196",
            "city": "JUNCTION CITY",
            "state": "AR",
            "postal_code": "717490196",
            "telephone_number": "870-862-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N WEST AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717303124",
            "telephone_number": "870-862-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGG",
        "first_name": "MELINDA",
        "middle_name": "SUE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.