Healthcare Provider Details

I. General information

NPI: 1205364312
Provider Name (Legal Business Name): CORRIE ANN LESHER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CORRIE ANN LESHER OD

II. Dates (important events)

Enumeration Date: 06/02/2017
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1166 CLEVELAND AVE
AMHERST OH
44001-1765
US

IV. Provider business mailing address

1166 CLEVELAND AVE
AMHERST OH
44001-1765
US

V. Phone/Fax

Practice location:
  • Phone: 440-960-2020
  • Fax: 440-282-3300
Mailing address:
  • Phone: 440-960-2020
  • Fax: 440-282-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6565
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: