Mary R Coughlin -shores (NPI# 1427146778, PAC ID# 6901935030) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1427146778 |
| PAC ID by PECOS | 6901935030 |
| Professional Enrollment ID | I20100813000483 |
| Full Name | Mary R Coughlin -shores |
| Organization Legal Name | DR SHORES AND ASSOCIATES OPTOMETRIST INC |
| Address |
3923 Pine Grove Ave Fort Gratiot MI 48059-4251 |
| Phone Number | 8109853333 |
| Gender | F |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 1990 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8921137050 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3923 Pine Grove Ave, Fort Gratiot, MI 48059-4251 | 8109853333 | DR SHORES AND ASSOCIATES OPTOMETRIST INC |
| Organization Legal Name | DR SHORES AND ASSOCIATES OPTOMETRIST INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leigh W Shores | Optometry | Dr Shores and Associates Optometrist Inc | 3923 Pine Grove Ave, Fort Gratiot, MI 48059-4251 |
| Street Address |
3923 PINE GROVE AVE |
| City | FORT GRATIOT |
| State | MI |
| Zip | 48059-4251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leigh W Shores | Optometry | Dr Shores and Associates Optometrist Inc | 3923 Pine Grove Ave, Fort Gratiot, MI 48059-4251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy J Plonka | Internal Medicine | Mclaren Medical Group | 5979 Lakeshore Rd, Fort Gratiot, MI 48059-2826 |
| Laura Winkelman | Nurse Practitioner | Mclaren Medical Group | 5979 Lakeshore Rd, Fort Gratiot, MI 48059-2826 |
| Heidi M Mccullah | Optometry | 4845 24th Ave, Fort Gratiot, MI 48059-3407 | |
| Hargopal Tekumulla | Physical Therapy | Riverview Physical Therapy and Rehab LLC | 4940 24th Ave, Fort Gratiot, MI 48059-3408 |
| Sushree Tekumulla | Occupational Therapy | Riverview Physical Therapy and Rehab LLC | 4940 24th Ave, Fort Gratiot, MI 48059-3408 |
| Jennifer J Marlin | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Ashley Carriveau | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Syed H Hamzavi | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Meredith L Price | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Tina M Williams | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Find all physicians in zip 48059 | |||
| City | FORT GRATIOT |
| Zip Code | 48059 |
| Specialty | OPTOMETRY |
| City + Specialty | FORT GRATIOT + OPTOMETRY |
Please comment or provide details below to improve the information on Mary R Coughlin -shores.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.