Organization
DR NATHANIEL J. LEGGETT, INC
Active
Other names
Canton South Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL JAMES LEGGETT OD (PRESIDENT/TREASURER)
(330) 484-2569
Entity
Organization
Contact information
Practice address
4822 CLEVELAND AVE S, CANTON, OH 44707-1034
(330) 484-2569
(330) 236-8188
Mailing address
4822 CLEVELAND AVE S, CANTON, OH 44707-1034
(330) 484-2569
(330) 236-8188
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2796112
—
OH
Enumeration date
05/02/2007
Last updated
05/11/2023
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