| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LEGACY OPTICAL INC | 1114515467 | 2021-01-09 |
The organization Legacy Optical Inc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1114515467. Registration indicates Legacy Optical Inc is a provider of services with a specialization in Eye and Vision Services Providers, Technician/Technologist (Technician/Technologist: Contact Lens Fitter, ) (Technician/Technologist Contact Lens Fitter, Eye and Vision Services Providers) (Technician/Technologist, ) (Eye and Vision Services Providers, Technician/Technologist) (Technician/Technologist: Optometric Technician, ) (Technician/Technologist Optometric Technician, Eye and Vision Services Providers) (Technician/Technologist, ) (Eye and Vision Services Providers, Technician/Technologist) (Technician/Technologist: Optician, ) (Vision/Audiology, ) (Technician/Technologist Optician, Eye and Vision Services Providers) (Technician/Technologist, )
| Code | Practice | License No State |
|---|---|---|
| 156FC0801X | Eye and Vision Services Providers Technician/Technologist Technician/Technologist: Contact Lens Fitter Technician/Technologist Contact Lens Fitter Eye and Vision Services Providers Technician/Technologist | |
| 156FX1202X | Eye and Vision Services Providers Technician/Technologist Technician/Technologist: Optometric Technician Technician/Technologist Optometric Technician Eye and Vision Services Providers Technician/Technologist | |
| 156FX1800X PRIMARY | Eye and Vision Services Providers Technician/Technologist Technician/Technologist: Optician Vision/Audiology Technician/Technologist Optician Eye and Vision Services Providers Technician/Technologist | |
| 193200000X MULT | Group Code | |
| 193200000X MULT | Group Code | |
| 193200000X MULT | Group Code |