Organization · NPI-2
168 Optical, LLC
Eyewear Supplier (Equipment, not the service) · Parma Heights, OH
NPI number1699361444
StatusActive
Last updated in NPPESMay 28, 2025
Details
- NPI
- 1699361444
- Entity type
- Organization (NPI-2)
- Legal business name
- 168 Optical, LLC
- Organization subpart
- No
- Enumeration date
- Dec 16, 2020
- Certification date
- May 28, 2025
- Last updated
- May 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
6656 Pearl RdParma Heights, OH 44130-3820
Phone 440-613-5222
Mailing address
6656 Pearl RdParma Heights, OH 44130-3820
Phone 440-613-5222
Authorized official
Amy Jean Mullen
Practice Manager Licensed Optician
4406135222
Is something wrong?
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