Organization
MANSFIELD EYE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEVI MANSFIELD O.D. (OPTOMETRIST)
(270) 845-9015
Entity
Organization
Contact information
Practice address
111 N FRIENDSHIP RD, PADUCAH, KY 42001-5601
(270) 845-9015
(270) 845-9064
Mailing address
111 N FRIENDSHIP RD, PADUCAH, KY 42001-5601
(270) 339-6795
(270) 845-9064
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20438
—
KY
Enumeration date
07/28/2015
Last updated
05/02/2024
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