Organization
MANSFIELD EYE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEVI CHRISTOPHER MANSFIELD O.D. (OPTOMETRIST)
(270) 832-0117
Entity
Organization
Contact information
Practice address
130 PLANTATION WAY, WEST PADUCAH, KY 42086-9441
(270) 832-0117
Mailing address
130 PLANTATION WAY, WEST PADUCAH, KY 42086-9441
(270) 832-0117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1898DT
KY
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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