Individual provider Active NPI

Kye L Mansfield, OD

  • Optometrist
  • Pelham, AL
National Provider Identifier
1154312338
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S869TA410 Issued in AL
Practice address
3429 Pelham Pkwy
Pelham, AL 35124-2009
Phone
(205) 663-3937
NPI assigned
Nov 4, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S869TA410 AL Primary

Addresses

Primary practice location

3429 Pelham Pkwy
Pelham, AL 35124-2009

Mailing address

3429 Pelham Pkwy
Pelham, AL 35124-2009
Phone (205) 663-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000597 AL Practitioner - Optometry 2163444084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

3429 Pelham Pkwy
Pelham, AL 35124-2009
Phone (205) 663-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S869TA410ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Sep 10, 2025 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients

Locations

3429 Pelham Pkwy
Pelham, AL 35124
Phone (205) 663-3937

Interoperability endpoints

  • Direct secure messaging: kyemansfield@direct.eyecare-partners.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1154312338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242009",
            "telephone_number": "205-663-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242009",
            "telephone_number": "205-663-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "KYE",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S869TA410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.