Provider Demographics
NPI:1447868567
Name:MEAGAN LEGRAND, O.D., PLLC
Entity type:Organization
Organization Name:MEAGAN LEGRAND, O.D., PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MEAGAN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:LEGRAND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-305-1609
Mailing Address - Street 1:3725 E LEAGUE CITY PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-7373
Mailing Address - Country:US
Mailing Address - Phone:281-305-1609
Mailing Address - Fax:281-305-1699
Practice Address - Street 1:3725 E LEAGUE CITY PKWY STE 100
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-7373
Practice Address - Country:US
Practice Address - Phone:281-305-1609
Practice Address - Fax:281-305-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2020-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty