Legacy Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LEGACY VISION CENTER LLC

Practice address

2672 W Ridge Rd
Rochester, NY 14626-3054

Phone

(585) 245-0471

Fax

(585) 227-6963

NPI assigned

Aug 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jason Moore, ODNPI 1437177813

Title

Optometrist / Owner

Phone

(585) 245-0471

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Jason Winthrop Moore, O.D.

  • Optometrist
  • Rochester, NY
  • NPI 1437177813
  Medicare reassignment NPD Authorized official
• Anna Nicotera

  • Optician
  • Greece, NY
  • NPI 1225491541
  NPD (past)

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1891422382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 W RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263054",
            "telephone_number": "585-245-0471",
            "fax_number": "585-227-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 W RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263054",
            "telephone_number": "585-245-0471",
            "fax_number": "585-227-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OPTOMETRIST / OWNER",
        "authorized_official_telephone_number": "585-245-0471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Lefever, PHARMD.
• George Ian Lefkowitz, D.O.
• Carrie Lefler, CASAC
• Legacy Pediatrics
• Legacy Pediatrics LLC
• Morgan Elizabeth Legawiec, MS, OTR/L
• Kristina Legaye, LMSW
• Alicia Legg
• Bridget Simone Legree-Hawkins, LPN
• Shonta Legree, LPN

• Optometrist in Rochester, NY
• Providers in Rochester, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.