Legacy Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1254 Issued in NE

Legal business name

LEGACY EYECARE, LLC

Practice address

17520 Wright St Ste 105
Omaha, NE 68130-4657

Phone

(402) 614-3200

Fax

(402) 614-7070

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey John Brewer, O.D.NPI 1346273976

Title

President

Phone

(402) 614-3200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey John Brewer, O.D.

  • Optometrist
  • Omaha, NE
  • NPI 1346273976
  Medicare reassignment Care Compare group NPD Authorized official
• Jaimie Lynn Kruger, O.D.

  • Optometrist
  • Omaha, NE
  • NPI 1578584983
  Medicare reassignment Care Compare group NPD
• Ellie Danielle Burks, APRN

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1851150627
  NPD (past)
• Amanda Lynn Kester, M.D.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1740249176
  NPD (past)
• Jacque L Langford-Karre, APRN

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1174003941
  NPD (past)
• Angela Law, MD

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1336294487
  NPD (past)
• Kathryn Sara Shanahan, PA-C

  • Medical Physician Assistant
  • Omaha, NE
  • NPI 1336549211
  NPD (past)
• Julie Spencer, M.D.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1447300447
  NPD (past)
• Tina Kastler, O.D.

  • Optometrist
  • Glendale, AZ
  • NPI 1376535187
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1790718328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17520 WRIGHT ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304657",
            "telephone_number": "402-614-3200",
            "fax_number": "402-614-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 WRIGHT ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304657",
            "telephone_number": "402-614-3200",
            "fax_number": "402-614-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-614-3200",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Leftwich, ATC
• Terry Legacie, O.D.
• Legacy Comfort Care Solutions LLC
• Legacy Dental Care, LLC
• Legacy Dental P.C.
• Legacy Home Care Solutions, LLC
• Legacy Services Transportation
• Legal Family Services LLC
• Cassandra Legband
• Christine Legband

• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.