Active NPI
Tricia H Lege OD LLC
- Optometrist
- Abbeville, LA
National Provider Identifier
1376942870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1261-415T
- Legal business name
- TRICIA H LEGE OD LLC
- Practice address
- 204 N Saint Charles St
Abbeville, LA 70510-5106 - Phone
- (337) 740-2020
- Fax
- (337) 740-2022
- NPI assigned
- Aug 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tricia H Lege, O.D.
- Title
- Owner/Doctor
- Phone
- (337) 740-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1261-415T | LA | Primary |
Addresses
Primary practice location
204 N Saint Charles St
Abbeville, LA 70510-5106
Mailing address
204 N Saint Charles St
Abbeville, LA 70510-5106
Phone (337) 740-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11349745 | Other | LA | CAQH |
| 1544043 | Medicaid | LA |
Other names 1
- Dr. Tricia H. Lege, O.D.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141001002094 | LA | Part B Supplier - Clinic/Group Practice | 8426278177 |
Receives reassigned benefits from 1 practitioner Practice locations: Abbeville, LA |
National Provider Directory
National Provider DirectoryLocations
204 N Saint Charles St
Abbeville, LA 70510
Phone (337) 740-2020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Abbeville, LA
- NPI 1356223929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408492800000",
"number": "1376942870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 N SAINT CHARLES ST",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705105106",
"telephone_number": "337-740-2020",
"fax_number": "337-740-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 N SAINT CHARLES ST",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705105106",
"telephone_number": "337-740-2020",
"fax_number": "337-740-2022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRICIA H LEGE OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A",
"authorized_official_last_name": "LEGE",
"authorized_official_first_name": "TRICIA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "337-740-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "LA",
"license": "1261-415T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11349745",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1544043",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Tricia H. Lege, O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Abbeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.