Organization
LM EYE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI MANSFIELD OD (OWNER)
(270) 832-0117
Entity
Organization
Contact information
Practice address
5101 HINKLEVILLE RD STE 490, PADUCAH, KY 42001-9047
(270) 442-7222
Mailing address
925 CLARK LINE RD, PADUCAH, KY 42003-8766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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