# TRICIA H LEGE OD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Tricia H. Lege, O.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376942870
- **Authorized official:** DR. TRICIA H LEGE O.D. (OWNER/DOCTOR)
- **Authorized official phone:** (337) 740-2020

## Contact information

- **Practice address:** 204 N SAINT CHARLES ST, ABBEVILLE, LA 70510-5106
- **Practice address phone:** (337) 740-2020
- **Practice address fax:** (337) 740-2022
- **Mailing address:** 204 N SAINT CHARLES ST, ABBEVILLE, LA 70510-5106
- **Mailing address phone:** (337) 740-2020
- **Mailing address fax:** (337) 740-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1261-415T | LA | Yes |

## Other

- **Enumeration date:** 08/20/2014
- **Last updated:** 08/20/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11349745 | CAQH | LA |
| 05 | — | 1544043 | — | LA |