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DR. KENDRA LEA MAHAFFEY O.D. NPI 1982612289


NPI Information

NPI: 1982612289
Provider Name: DR. KENDRA LEA MAHAFFEY, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 36D2199004

Address:
7529 FREDLE DR
CONCORD TWP, OH
ZIP 44077
Phone: (440) 853-8581
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DR. Kendra Lea Mahaffey, O.D. is an optometrist in Concord Twp, OH with 24 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Kendra Lea Mahaffey, O.D. NPI is 1982612289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW ENGLAND COLLEGE OF OPTOMETRY
Graduation Year:2000

The provider's business location address is:

7529 FREDLE DR
CONCORD TWP, OH
ZIP 44077-406
Phone: (440) 853-8581
Fax: (440) 853-8582

The NPI 1982612289 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The CLIA number assigned to this NPI record is 36D2199004 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 8/14/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist5130/T2029OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.