Legacy Vision Pa

LBN: Legacy Vision Pa
Legacy Vision Pa is an health care organization with primary practice located at 6909 Coit Rd Suite 200, Plano TX 75024. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Legacy Vision Pa can be contacted via phone (972) 208-5757, or through Todd, Trish E via phone (972) 208-5757.

Contact Information

Primary practice address
6909 Coit Rd Suite 200 Plano TX 75024
Phone: (972) 208-5757
Fax: (972) 208-5548
Website:
Map and Directions
Authorized official contact:
Name: Todd, Trish E ABOC
Phone: (972) 208-5757

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 03489TG Texas

Profile Details

NPI number 1770769804
LBN Legal business name Legacy Vision Pa
DBA Doing business as
Authorized official Todd, Trish E ABOC
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 18th, 2008
Last updated Jun 15th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770769804 NPPES
Texas Other 00825P MEDICARE

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