Kendra Lea Mahaffey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5130/T2029 Issued in OH

Practice address

7529 Fredle Dr
Concord TWP, OH 44077-9406

Phone

(440) 853-8581

Fax

(440) 853-8582

NPI assigned

Aug 3, 2006

Last updated

Aug 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gundumalla S Goud MD Inc

  • Internal Medicine Physician
  • Concord TWP, OH
  • NPI 1447427414
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1982612289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 LOST NATION RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440947672",
            "telephone_number": "440-942-0887",
            "fax_number": "440-942-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7529 FREDLE DR",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-853-8581",
            "fax_number": "440-853-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAFFEY",
        "first_name": "KENDRA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5130/T2029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard M Weinberger MD Inc
• Dawn J Linch, OTA 02108
• Cherese Rocquemore Lofton
• Patricia Marie Lord, RN, BSN, CDE
• Arminda L Lumapas, M.D.
• Diane K Mahoney, PH.D.
• Jill Maiorca, LISW
• Liezl Malibiran, CNP
• Deborah A Manuel, PA
• John Mathews II, FNP-C

• Optometrist in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.