Mansfield Eye Clinic, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MANSFIELD EYE CLINIC, PLLC

Practice address

111 N Friendship Rd
Paducah, KY 42001-5601

Phone

(270) 845-9015

Fax

(270) 845-9064

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Levi Mansfield, O.D.NPI 1811242787

Title

Optometrist

Phone

(270) 845-9015

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Tax ID family

Mansfield Eye Clinic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mansfield Eye Clinic PLLC

  • Optometrist
  • West Paducah, KY
  • NPI 1952722829
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Levi Christopher Mansfield, O.D.

  • Optometrist
  • Paducah, KY
  • NPI 1811242787
  Medicare reassignment Care Compare group NPD Authorized official
• Kelly Smiley Bugg, O.D.

  • Optometrist
  • Mayfield, KY
  • NPI 1932497690
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1346625613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N FRIENDSHIP RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420015601",
            "telephone_number": "270-339-6795",
            "fax_number": "270-845-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N FRIENDSHIP RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420015601",
            "telephone_number": "270-845-9015",
            "fax_number": "270-845-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD EYE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "270-845-9015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20438",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Mangino, DMD
• Anil John Mani, M.D.
• Brian Keith Manley, CRNA
• Kevan Ellary Mann, MD
• Karlee Elisabeth Mannon
• Britney Nicole Mansfield
• Elizabeth A Mansfield, ARNP
• Levi Christopher Mansfield, O.D.
• Lauren Payton Mantle
• Tara Leslie Marcum, BA

• Optometrist in Paducah, KY
• Providers in Paducah, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.