LEANNE M LIDDICOAT O.D.
NPI 1154413797
Optometrist - Vision Therapy in Roseville, CA
About Leanne M Liddicoat O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEANNE M LIDDICOAT O.D. (NPI 1154413797) is an individual vision therapy provider in Roseville, California, licensed in California (11076T) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Leanne M Liddicoat O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Leanne Liddicoat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roseville, CA 95661
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Roseville, CA 95661
- Reassigned Medicare billing, California enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95661
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Leanne Liddicoat's NPI number?
The NPI number for Leanne Liddicoat is 1154413797. It was assigned to this individual provider in the NPPES registry on September 29, 2006.
Where is Leanne Liddicoat located?
Leanne Liddicoat practices at 114 N Sunrise Ave Suite C2, Roseville, CA 95661. The listed phone number is (916) 786-2212.
What is Leanne Liddicoat's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.
Is Leanne Liddicoat enrolled in Medicare?
Yes. Leanne Liddicoat is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Leanne Liddicoat's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leanne Liddicoat reassigns Medicare benefits to 2 organizations: Aaron E Lech Optometry A (Roseville, CA) and Fyidoctors Of California, Inc. (Roseville, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leanne Liddicoat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Leanne Liddicoat accept?
Health plans from Providence Health Plan list Leanne Liddicoat as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Leanne Liddicoat was last updated on November 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Leanne M Liddicoat, O.D. · NPI 1154413797
Vision Therapy provider in Roseville, California. Individual provider, active in the CMS NPPES registry since September 29, 2006.
## Identity
- **NPI:** 1154413797 (Entity type: Individual)
- **Enumerated:** September 29, 2006
- **Primary specialty:** Optometrist - Vision Therapy · taxonomy 152WV0400X
- **State license:** 11076T (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 114 N SUNRISE AVE, SUITE C2, Roseville, CA 95661-2916
- **Phone:** (916) 786-2212 · **Fax:** (916) 786-2393
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aaron E Lech Optometry A (NPI 1396046850, Roseville, CA); Fyidoctors Of California, Inc. (NPI 1437718418, Roseville, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** November 8, 2010
- **Other identifiers:** Medicare UPIN U76797 (CA); Medicare ID-Type Unspecified SD0011760 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1154413797) · Data from the CMS NPPES public registry.