MEDICARE: MR. TERRY LEGACIE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1005	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518040146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TERRY LEGACIE O.D.

Provider Business Mailing Address
First Line	:	PO BOX 181
Second Line	:
City	:	GRETNA
State	:	NE
Zip	:	68028-0181
Country	:	US
Telephone Number	:	402-334-9511
Fax Number	:	402-334-1070

Provider Business Practice Location Address
First Line	:	12330 K PLZ STE 109
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68137-2270
Country	:	US
Telephone Number	:	402-334-9511
Fax Number	:	402-334-1070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	08/04/2015

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1215891536 — CONSTANCE GARNER
Practice Location Address:

2503 N 16TH ST APT 12
OMAHA, NE
68110-2270

Practice Phone: 531-375-9008
Practice Fax:

1003778788 — TAYLOR ANN LESSIG
Practice Location Address:

4606 N 56TH ST
OMAHA, NE
68104-2270

Practice Phone: 402-933-0680
Practice Fax:

1477597789 — HY-VEE INC
Practice Location Address:

8404 N 30TH ST
OMAHA, NE
68112-2270

Practice Phone: 402-451-8842
Practice Fax: 402-451-8895

1407163009 — HY-VEE INC
Practice Location Address:

8404 N 30TH ST , SUITE 100
OMAHA, NE
68112-2270

Practice Phone: 402-451-8842
Practice Fax: 402-451-8895

1487253431 — AMY SUE DOUGLAS RP
Practice Location Address:

8404 N 30TH ST
OMAHA, NE
68112-2270

Practice Phone: 402-451-2135
Practice Fax: 402-952-8032

Directions to “ MR. TERRY LEGACIE O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.