Dr Shores & Associates Optometrist Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR SHORES & ASSOCIATES OPTOMETRIST INC

Practice address

3923 Pine Grove Road
Fort Gratiot, MI 48059-4251

Phone

(810) 985-3333

Fax

(810) 989-9279

NPI assigned

Oct 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Coughlin-Shores, O.D.

Title

Doctor

Phone

(810) 985-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1710075981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 PINE GROVE ROAD",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594251",
            "telephone_number": "810-985-3333",
            "fax_number": "810-989-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 PINE GROVE ROAD",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594251",
            "telephone_number": "810-985-3333",
            "fax_number": "810-989-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHORES & ASSOCIATES OPTOMETRIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN-SHORES",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "810-985-3333",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "900G410310",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Dokulil
• Sophia Donnellon, PT, DPT
• Dakota Donovan
• Bridgette Douglas
• Amanda Lynn Doyle, LMT
• Dr. Eldib Fort Gratiot, PLLC
• Angelic Latrice Drake
• Shelsy Dawn Drouillard
• Mary Drummond
• Coby Dubke

• Optometrist in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.