LEANNE M LIDDICOAT (NPI# 1154413797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154413797 |
| Entity Type | Individual |
| Full Name | LEANNE M LIDDICOAT |
| Credential | O.D. |
| Practice Address |
114 N Sunrise Ave Suite C2 Roseville CA 95661-2916 |
| Practice Telephone | 9167862212 |
| Practice Fax Number | 9167862393 |
| Mailing Telephone | 9167862212 |
| Mailing Fax Number | 9167862393 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
11076T | CA | Eye and Vision Services Providers |
| Street Address |
114 N SUNRISE AVE SUITE C2 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073788 | Mccarthy Physical Therapy and Sports Center, Inc. | Physical Therapist | 114 N Sunrise Ave, Ste B1, Roseville, CA 95661-2916 | 2005-06-16 |
| 1699051771 | Michael Mcmahon | Physical Therapist | 114 N Sunrise Ave, Suite B-1, Roseville, CA 95661-2916 | 2011-11-02 |
| 1326136276 | Timothy B Mccarthy | Physical Therapist | 114 N Sunrise Ave, Suite B-1, Roseville, CA 95661-2916 | 2006-10-10 |
| 1528156403 | Martin F Giampaoli | Physical Therapist | 114 N Sunrise Ave, Suite B-1, Roseville, CA 95661-2916 | 2006-10-10 |
| 1861580748 | Michael Brad Ito | Physical Therapist | 114 N Sunrise Ave, Suite B-1, Roseville, CA 95661-2916 | 2006-10-10 |
| 1053365254 | Aaron Edward Lech | Optometrist | 114 N Sunrise Ave, Ste C-2, Roseville, CA 95661-2916 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| 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. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986014 | Johann Josue Schlager | Optometrist | 901 Dover Dr Ste 100, Newport Beach, CA 92660-5514 | 2019-08-07 |
| 1184288862 | Elizabeth Yeh | Optometrist | 970 Monument St Ste 102, Pacific Palisades, CA 90272-3860 | 2019-04-27 |
| 1558848986 | Judy Cao, Od, Inc | Optometrist | 360 E Las Tunas Dr Unit 203, San Gabriel, CA 91776-1502 | 2018-07-27 |
| 1811362718 | Dr. Robert S. Christensen Inc. | Optometrist | 250 Camino Alto, Suite 110, Mill Valley, CA 94941-1400 | 2015-12-03 |
| 1992112684 | Belinda Kuo | Optometrist | 2141 W Orangewood Ave, Suite B, Orange, CA 92868-1955 | 2014-07-15 |
| 1720410137 | Katie L Elton | Optometrist | 24640 Jefferson Ave. Suite 100, Murrieta, CA 92562 | 2013-08-08 |
| 1619147535 | Timothy Andrew Wilkins | Optometrist | 2331 Kern St, Fresno, CA 93721-2700 | 2008-03-06 |
| 1922281930 | Corinna Marie Shelley | Optometrist | 2104 W Grant Line Rd, Tracy, CA 95377-7309 | 2007-12-12 |
| 1114041746 | Allison Hongdiep Cao-le | Optometrist | 454 Alvarado St, Monterey, CA 93940-2717 | 2007-03-19 |
| 1336276757 | Cornelius Mietus | Optometrist | 1125 Coast Village Rd, Santa Barbara, CA 93108-2716 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.