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LEGACY FAMILY EYECARE INC
NPI 1689958183
Optometrist in Cumming, GA

Active since October 03, 2011
210 HUDSON ST, CUMMING, GA 30040(770) 887-9171(770) 887-9180 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Legacy Family Eyecare Inc NPPES

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

LEGACY FAMILY EYECARE INC (NPI 1689958183) is a healthcare organization registered as an optometrist in Cumming, Georgia and active in the NPI registry since October 2011. The organization lists Michael Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1689958183
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLEGACY FAMILY EYECARE INC
Location Address210 HUDSON STCumming, GA 30040-2432
Mailing Address210 Hudson StCumming, GA 30040-2432 · (770) 887-9171 · Fax (770) 887-9180
Phone(770) 887-9171
Fax(770) 887-9180
Organization SubpartNo
Authorized OfficialMichael RobertsOwner · (770) 887-9171
Enumeration DateOctober 3, 2011
Last NPPES UpdateApril 5, 2019
✔ NPI 1689958183 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 GA · OPT001092
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.
210 HUDSON ST, Cumming, GA 30040
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Other Identifiers 1

Medicaid00324816AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Family Eyecare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Legacy Family Eyecare Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tiffany Luke, O.D.
Optometry
NPI 1780050526
210 HUDSON ST
Cumming, GA 30040
(770) 887-9171
✔ PECOS✔ Accepts MedicareSame address
Michael Roberts, OD
Optometry
NPI 1578654265
210 HUDSON ST
Cumming, GA 30040
(770) 887-9171
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Legacy Family Eyecare Inc's NPI number?

The NPI number for Legacy Family Eyecare Inc is 1689958183. It was assigned to this organization in the NPPES registry on October 3, 2011.

Where is Legacy Family Eyecare Inc located?

Legacy Family Eyecare Inc is located at 210 Hudson St, Cumming, GA 30040. The listed phone number is (770) 887-9171.

What is Legacy Family Eyecare Inc's specialty?

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

Is Legacy Family Eyecare Inc enrolled in Medicare?

Yes. Legacy Family Eyecare Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Family Eyecare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Legacy Family Eyecare Inc. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Legacy Family Eyecare Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Legacy Family Eyecare Inc 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 Legacy Family Eyecare Inc was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.