Legacy Eye Care PLLC
NPI 1225647415 · Optometrist · Yukon, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Eye Care PLLC is a Optometrist organization in Yukon, OK (NPI 1225647415).
Provider details
- NPI number
- 1225647415
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kyle Henderson, Optometrist(918) 207-6276
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-07-24
- Last updated
- 2020-07-24
- Certified
- 2020-07-24
Frequently asked questions
- What is Legacy Eye Care PLLC's NPI number?
- Legacy Eye Care PLLC's National Provider Identifier (NPI) is 1225647415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Eye Care PLLC?
- Legacy Eye Care PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Legacy Eye Care PLLC located?
- Legacy Eye Care PLLC's practice location on file with NPPES is 1207 Cornwell Dr, Yukon, OK 73099-4633.
- What is Legacy Eye Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Eye Care PLLC is (405) 354-3384.
- Does Legacy Eye Care PLLC accept Medicare?
- Legacy Eye Care PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy Eye Care PLLC?
- The authorized official listed on Legacy Eye Care PLLC's NPPES record is Kyle Henderson, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Eye Care PLLC's NPI active?
- Yes — Legacy Eye Care PLLC's NPI (1225647415) is active in the NPPES registry as of the last update on 2020-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.