Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leanne M Liddicoat, OD

Individual provider Vision Therapy Optometrist · NPI 1154413797

Leanne M Liddicoat, OD is an Optometry in Roseville, California. Qualified in 1998, 28 years ago. Practices with Fyidoctors of California Inc, a 21-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

114 N Sunrise Ave Ste C2
Roseville, CA 95661-2916
Phone: (916) 786-2212
Fax: (916) 786-2393
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vision Therapy Optometrist (primary) Taxonomy 152WV0400X · Licence 11076T (CA)

Record details

NPI number1154413797
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 29, 2006
Last updated in NPPESNovember 8, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Fyidoctors Of California Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount