MEDICARE: NATHANIEL JAMES LEGGETT O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	5221	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144222613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHANIEL JAMES LEGGETT O.D.

Provider Business Mailing Address
First Line	:	4822 CLEVELAND AVE S
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707-1034
Country	:	US
Telephone Number	:	330-484-2569
Fax Number	:	330-236-8188

Provider Business Practice Location Address
First Line	:	4822 CLEVELAND AVE S
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707-1034
Country	:	US
Telephone Number	:	330-484-2569
Fax Number	:	330-236-8188

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2005
Last Update Date	:	05/11/2023

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1447472329 — DR NATHANIEL J. LEGGETT, INC
Practice Location Address:

4822 CLEVELAND AVE S
CANTON, OH
44707-1034

Practice Phone: 330-484-2569
Practice Fax: 330-236-8188

1801924055 — PERRY TOWNSHIP TRUSTEES
Practice Location Address:

1325 PERRY DR SW
CANTON, OH
44710-1034

Practice Phone: 330-833-3865
Practice Fax: 330-833-7972

1013851377 — OPEN ARMS 4 YOU LLC
Practice Location Address:

220 TYLER AVE SE
CANTON, OH
44707-2938

Practice Phone: 330-356-1512
Practice Fax:

1003773904 — OPEN ARMS 4 YOU LLC
Practice Location Address:

220 TYLER AVE SE
CANTON, OH
44707-2938

Practice Phone: 330-356-1512
Practice Fax:

1568264406 — MS. SHAREE SHONTAE THOMPSON
Practice Location Address:

1423 13TH ST SE
CANTON, OH
44707-3431

Practice Phone: 234-364-6529
Practice Fax:

Directions to “ NATHANIEL JAMES LEGGETT O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.