Samuel Mickle
Samuel Mickle is an Optician in Xenia, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2023
Practice location Address checks out
70 Hospitality DrXenia, OH 45385-2779
Phone: (937) 376-5632
Fax: (937) 376-5490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence OP.017669-S (OH) |
|---|
Record details
| NPI number | 1669248407 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 4, 2023 |
| Last updated in NPPES | December 4, 2023 |
| Certification date | December 2, 2023 |
| Mailing address | 70 Hospitality Dr, Xenia, OH 45385-2779 |
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