Provider Demographics
NPI:1205364312
Name:LESHER, CORRIE ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:CORRIE
Middle Name:ANN
Last Name:LESHER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CORRIE
Other - Middle Name:ANN
Other - Last Name:LESHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:17534 ROYALTON RD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-5151
Mailing Address - Country:US
Mailing Address - Phone:440-610-6251
Mailing Address - Fax:
Practice Address - Street 1:17534 ROYALTON RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-5151
Practice Address - Country:US
Practice Address - Phone:440-238-5030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6565152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist