Bernard Mamphey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5419 Issued in FL

Practice address

3615 S Florida Ave
Lakeland, FL 33803-4876

Phone

(863) 859-6500

NPI assigned

Jul 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• America'S Best Contacts & Eyeglasses

  • Optician
  • Lakeland, FL
  • NPI 1770986523
  NPD (past)

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519430400000",
    "number": "1578084182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 LAKELAND PARK CENTER DR UNIT 314",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093841",
            "telephone_number": "863-859-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034876",
            "telephone_number": "863-859-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMPHEY",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-05",
        "last_updated": "2018-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger L Maloy, RMHCI
• Hayley Renee Maloy, LCSW
• Demetra Malveaux, OTA
• William F Malzone, M.D.
• Avinash Mamgain
• Monique Manderson, FNP-C, PMHNP-BC
• Maneesha Chigurupati DDS, PLLC
• Catherine Concepcion Mangalili, APRN
• Jessica Jane Manges, ARNP
• Marizza Mangune-Kalaw

• Optometrist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.