Organization
KENDRA L. MAHAFFEY O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDRA LEA MAHAFFEY O.D. (PRESIDENT)
(440) 942-9315
Entity
Organization
Contact information
Practice address
34440 VINE ST, EASTLAKE, OH 44095
(440) 942-9315
(440) 942-9374
Mailing address
3057 LOST NATION RD, WILLOUGHBY, OH 44094-7672
(440) 942-9315
(440) 942-9374
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5130/T2029
OH
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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