Kendra L. Mahaffey O.d., Inc. is a
Optometrist based in Eastlake, Ohio. Kendra L. Mahaffey O.d., Inc. is licensed to practice in Ohio (license number 5130/T2029) and their current practice location is
34440 Vine St, Eastlake, Ohio. It can be reached at their office (for appointments etc.) via phone at
(440) 942-9315.
NPI number for Kendra L. Mahaffey O.d., Inc. is 1912009218 and their current mailing address is 3057 Lost Nation Rd, Willoughby, Ohio. Kendra L. Mahaffey O.d., Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1912009218.
Healthcare Provider's Profile
Full Name | Kendra L. Mahaffey O.d., Inc. |
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Type | Facility |
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Speciality | Optometrist |
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Location | 34440 Vine St, Eastlake, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912009218
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Kendra L. Mahaffey O.d., Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912009218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 5130/T2029 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendra L. Mahaffey O.d., Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kendra L. Mahaffey O.d., Inc. 3057 Lost Nation Rd, Willoughby, OH 44094-7672 Ph: (440) 942-9315 | Kendra L. Mahaffey O.d., Inc. 34440 Vine St, Eastlake, OH 44095 Ph: (440) 942-9315 |
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