Provider Demographics
NPI:1770887762
Name:LEIGH, JAMES MICHAEL (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:LEIGH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 S PROVIDENCE CENTER DR
Mailing Address - Street 2:OPTICAL DEPARTMENT
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3956
Mailing Address - Country:US
Mailing Address - Phone:435-319-5952
Mailing Address - Fax:
Practice Address - Street 1:54 E 300 S
Practice Address - Street 2:APT. 8
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3666
Practice Address - Country:US
Practice Address - Phone:435-319-5952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-05
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2956152W00000X
UT9097355-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist