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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL MICKLE

Active Sole Proprietor

SAMUEL MICKLE is a Optician, Dispensing healthcare provider located in XENIA, Ohio. NPI 1669248407 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · XENIA, OH

Registration Details

NPI Number
1669248407
Provider Type
Individual
Gender
Male
NPI Issued
Dec 4, 2023 (2.6983044161396 yrs)
Last Updated
Dec 4, 2023
License
OP.017669-S (OH)
Sole Proprietor
Yes

Practice Information

Address
70 HOSPITALITY DR
XENIA, OH, 453852779
Browse OH providers · Browse ZIP 45385
Phone
9373765632
Fax
9373765490
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in XENIA, OH

Name Credential NPI
MR. JAMES KELLY PALMER III L.D.O. 1093011868
TARA ALLEN 1033818760
RHONDA C REGISTER 1548952658
FREYA ELISHAROSE VELLIA 1801661939
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.