Dr Nathaniel J. Leggett, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR NATHANIEL J. LEGGETT, INC

Doing business as

Canton South Eye Care

Practice address

4822 Cleveland Ave S
Canton, OH 44707-1034

Phone

(330) 484-2569

Fax

(330) 236-8188

NPI assigned

May 2, 2007

Last updated

May 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel James Leggett, ODNPI 1144222613

Title

President/Treasurer

Phone

(330) 484-2569

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Canton South Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathaniel James Leggett, O.D.

  • Optometrist
  • Canton, OH
  • NPI 1144222613
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1447472329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 CLEVELAND AVE S",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447071034",
            "telephone_number": "330-484-2569",
            "fax_number": "330-236-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 CLEVELAND AVE S",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447071034",
            "telephone_number": "330-484-2569",
            "fax_number": "330-236-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR NATHANIEL J. LEGGETT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "LEGGETT",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "330-484-2569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2796112",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canton South Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Canton South Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Canton, OH
• Providers in Canton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.