LEANNE M LIDDICOAT O.D.
NPI 1154413797
Optometrist - Vision Therapy in Roseville, CA

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
114 N SUNRISE AVE, SUITE C2, ROSEVILLE, CA 95661(916) 786-2212(916) 786-2393 Get Directions Write a Review

NPPES record last updated: November 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1154413797
Entity TypeIndividualFemale
Primary Taxonomy152WV0400X
Provider Legal NameLEANNE M LIDDICOATCredential: O.D.
Location Address114 N SUNRISE AVE, SUITE C2Roseville, CA 95661-2916
Mailing Address114 N Sunrise Ave, Suite C2Roseville, CA 95661-2916 · (916) 786-2212 · Fax (916) 786-2393
Fax(916) 786-2393
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 29, 2006
Last NPPES UpdateNovember 8, 2010
NPI 1154413797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License Licensed in CA · 11076T
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
114 N SUNRISE AVE, Roseville, CA 95661

Other Identifiers 2

Medicare UPINU76797CA
Medicare ID-Type UnspecifiedSD0011760CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7012986235
PECOS Enrollment IDI20041110001307
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
49 services49 patients

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.

New Patient
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Optometrist
114 N SUNRISE AVE, STE C-2
ROSEVILLE, CA 95661
Physical Therapist
114 N SUNRISE AVE, SUITE B-1
ROSEVILLE, CA 95661
Physical Therapist
114 N SUNRISE AVE, SUITE B-1
ROSEVILLE, CA 95661
Physical Therapist
114 N SUNRISE AVE, STE B1
ROSEVILLE, CA 95661
Physical Therapist
114 N SUNRISE AVE, SUITE B-1
ROSEVILLE, CA 95661
Physical Therapist
114 N SUNRISE AVE, SUITE B-1
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.

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.