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Contact Information

MARTY R LEGGETT OD PA
309 W MAIN ST.
LEESBURG, FL34748
 Phone: 352-391-2967
 Fax: 352-391-2967
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARTY R LEGGETT OD PA

NPI Number 1275716433
LBN Legal business name MARTY R LEGGETT OD PA
Authorized official MARTY LEGGETT - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/11/2007
Last updated 01/02/2013 - About 13 years ago
Identifiers
FL License # OC0002242
FL License # OPC2242
FL Medicaid 078819800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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