Levi Christopher Mansfield, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1898DT Issued in KY

Practice address

111 N Friendship Rd
Paducah, KY 42001-5601

Phone

(270) 845-9015

NPI assigned

Jul 17, 2012

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

Enrolled in KY

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

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Mansfield Eye Clinic, PLLCGroup PAC ID 5294044947, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mansfield Eye Clinic, PLLC

  • Optometrist
  • Paducah, KY
  • NPI 1346625613
  Medicare reassignment Care Compare group NPD Authorized official
• LM Eye Clinic PLLC

  • Optometrist
  • Paducah, KY
  • NPI 1386386647
  NPD Authorized official

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1811242787",
    "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": "270-845-9015"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "LEVI",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1898DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevan Ellary Mann, MD
• Karlee Elisabeth Mannon
• Mansfield Eye Clinic, PLLC
• Britney Nicole Mansfield
• Elizabeth A Mansfield, ARNP
• Lauren Payton Mantle
• Tara Leslie Marcum, BA
• Marilyn'S Medical Freedom, Inc.
• Mark L Crawford MD PSC
• Mark L. Crawford M.D., P.S.C.

• 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 Mar 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.