Organization Active NPI

Tricia H Lege OD LLC

  • Optometrist
  • Abbeville, LA
National Provider Identifier
1376942870
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1261-415T Issued in LA
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

Updated by the provider on Aug 20, 2014

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.NPI 1598852089
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
11349745OtherLACAQH
1544043MedicaidLA

Other names 1

  • Dr. Tricia H. Lege, O.D. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141001002094 LA Part B Supplier - Clinic/Group Practice 8426278177 Receives reassigned benefits from 1 practitioner
Practice locations: Abbeville, LA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.