Leigh Shores, O.D.

NPI #1215025572 in Fort Gratiot, Michigan

Provider Information

NPI Number: 1215025572
Entity Type: Individual
Name: Leigh Shores, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3923 PINE GROVE ROAD
City: Fort Gratiot
State: Michigan
ZIP Code: 48059-4251
Phone: (810) 985-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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