Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEIGH SHORES, O.D.
ActiveLEIGH SHORES, O.D. is a Optometrist healthcare provider located in FORT GRATIOT, Michigan. NPI 1215025572 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FORT GRATIOT, MI
Registration Details
- NPI Number
- 1215025572
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2006 (19.80690831279 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4901003150 (MI)
Practice Information
- Address
-
3923 PINE GROVE ROADFORT GRATIOT, MI, 480594251Browse MI providers · Browse ZIP 48059
- Phone
- 8109853333
- Fax
- 8109899279
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FORT GRATIOT, MI
| Name | Credential | NPI |
|---|---|---|
| DR. HEIDI MARIE MCCULLAH | O.D. | 1538164728 |
| THOMAS LEES | OD | 1407842040 |
| DR. PHILLIP A KOHANOV | O.D. | 1184615742 |
| MARY COUGHLIN-SHORES | O.D. | 1427146778 |
| DENNIS J KAUTZMAN | O.D. | 1023171857 |
| DONNA L SUITER | O.D. | 1184773905 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.