Ethan Mengle, OD
NPI 1417449174 · Optometrist · Medina, OH
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Mengle, OD is a Optometrist provider in Medina, OH (NPI 1417449174).
Provider details
- NPI number
- 1417449174
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- OPT.006684 (OH)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 1558 Akron Peninsula RdAkron, OH 44313-5154Phone: (330) 922-4040
- 5697 Darrow RdHudson, OH 44236-4013Phone: (330) 650-0919
- 1155 State Route 303Streetsboro, OH 44241-3969Phone: (330) 422-2020Fax: (330) 422-0316
Registry dates
- Enumerated
- 2018-05-30
- Last updated
- 2021-06-08
- Certified
- 2021-06-08
Frequently asked questions
- What is Ethan Mengle's NPI number?
- Ethan Mengle's National Provider Identifier (NPI) is 1417449174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Mengle's specialty?
- Ethan Mengle is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Ethan Mengle located?
- Ethan Mengle's practice location on file with NPPES is 409 N Court St, Medina, OH 44256-1869.
- What is Ethan Mengle's phone number?
- The practice phone number listed in the NPPES registry for Ethan Mengle is (330) 725-4680.
- Does Ethan Mengle accept Medicare?
- Ethan Mengle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Mengle's NPI active?
- Yes — Ethan Mengle's NPI (1417449174) is active in the NPPES registry as of the last update on 2021-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.