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DR. JOLIE DENISE LEGATE OD
NPI 1417615600
Optometrist in Mequon, WI

Active since December 04, 2021PECOS Enrolled
10800 N PORT WASHINGTON RD, MEQUON, WI 53092(262) 241-4848 Get Directions Write a Review

NPPES record last updated: December 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2021, Dec 4, 2021 (2 updates tracked since 2021).

About Dr. Jolie Denise Legate Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOLIE DENISE LEGATE OD (NPI 1417615600) is an individual optometrist in Mequon, Wisconsin, licensed in Wisconsin (3720-35) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2020).

NPPES Registry Identity

NPI1417615600
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOLIE DENISE LEGATECredential: OD
Location Address10800 N PORT WASHINGTON RDMequon, WI 53092-5007
Mailing Address1128 Coprinus DrGreen Bay, WI 54313-4210 · (920) 471-7214
Phone(262) 241-4848
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2020
Enumeration DateDecember 4, 2021
Last NPPES UpdateDecember 12, 20212 updates tracked since enumeration
NPPES CertifiedDecember 12, 2021
✔ NPI 1417615600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 3720-35
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
10800 N PORT WASHINGTON RD, Mequon, WI 53092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jolie Denise Legate Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012309503
PECOS Enrollment IDI20250930001796
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYEYEDR OPTOMETRY OF WISCONSIN, LLC
Optometrist
10800 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 241-4848
SE PROFESSIONALS, S.C.
Optometrist
10800 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 241-4848

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 Jolie Legate's NPI number?

The NPI number for Jolie Legate is 1417615600. It was assigned to this individual provider in the NPPES registry on December 4, 2021.

Where is Jolie Legate located?

Jolie Legate practices at 10800 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 241-4848.

What is Jolie Legate's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jolie Legate enrolled in Medicare?

Yes. Jolie Legate is registered in the Medicare PECOS enrollment system.

What insurance does Jolie Legate accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health, Ambetter from Home State Health and Anthem Blue Cross and Blue Shield and 10 other insurers list Jolie Legate 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 Jolie Legate was last updated on December 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.