Theresa Marie Legault, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

6845 Issued in NY

Practice address

7494 US Highway 11
Potsdam, NY 13676-3577

Phone

(315) 268-3921

Fax

(315) 268-6923

NPI assigned

Oct 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1831918325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7494 US HIGHWAY 11",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763577",
            "telephone_number": "315-268-6921",
            "fax_number": "315-268-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7494 US HIGHWAY 11",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763577",
            "telephone_number": "315-268-3921",
            "fax_number": "315-268-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3222 State Route 11",
            "address_purpose": "LOCATION",
            "city": "Malone",
            "state": "NY",
            "postal_code": "129534709",
            "country_code": "US",
            "telephone_number": "518-483-5968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25737 US Route 11",
            "address_purpose": "LOCATION",
            "city": "Evans Mills",
            "state": "NY",
            "postal_code": "136373221",
            "country_code": "US",
            "telephone_number": "315-629-4312",
            "fax_number": "315-629-4319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGAULT",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C006845-01",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "6845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Latimer, RN
• Kiona Lavalley, FNP
• Julie Lynn Lawless, LCSW
• Lisa Lawton
• David Argil Layer, D.O.
• Meade Lent, FNP
• Alycia Levato, PA-C
• Susan Liebfred, RN
• Felicity Lynn Love, OTR/L
• Daniel Lowery, LPN

• Optician in Potsdam, NY
• Providers in Potsdam, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.