Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan T Mengle, OD

Individual provider Optometrist · NPI 1417449174

Ethan T Mengle, OD is an Optometrist in Medina, Ohio. Works from 4 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

409 N Court St
Medina, OH 44256-1869
Phone: (330) 725-4680
Fax: (330) 633-7165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1558 Akron Peninsula Rd, Akron, OH 44313-5154 — (330) 922-4040
  • 5697 Darrow Rd, Hudson, OH 44236-4013 — (330) 650-0919
  • 1155 State Route 303, Streetsboro, OH 44241-3969 — (330) 422-2020

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT.006684 (OH)

Record details

NPI number1417449174
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 30, 2018
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021
Mailing addressPo Box 207170, Dallas, TX 75320-7173

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