Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417449174 Individual Practitioner Male Practitioner

Dr. Ethan T Mengle , OD

Optometrist • Medina, OH

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Mengle, OD is a registered healthcare professional specializing in Optometrist in Medina, OH. Practice services are available at 409 N COURT ST under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient problem focused exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

409 N Court St

Medina, OH 442561869

Telephone 3307254680
Fax 3306337165
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Medina, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Medina, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
15.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $194.00 $164.49
92012 Established patient problem focused exam of visual system
13 11 $101.00 $86.19

Medical Specialties & State Licenses

CMS Verified: 2021-06-08
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH OPT.006684

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Secondary Practice Locations

5697 Darrow Rd

Hudson, OH 442364013

Phone: 3306500919

1558 Akron Peninsula Rd

Akron, OH 443135154

Phone: 3309224040

1155 State Route 303

Streetsboro, OH 442413969

Phone: 3304222020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Ann Cater

Optometrist

NPI 1285254748
NPI 1306929641

Doctor of Optometry

NPI 1578066742

Doctor of Optometry

NPI 1689676645

Doctor of Optometry

NPI 1801638911

Doctor of Optometry

NPI 1902334949

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 08, 2021

Registered at 409 N COURT ST, MEDINA, OH 442561869 (Tel: 3307254680)

📍
Updated Business Mailing Address June 08, 2021

Registered at PO BOX 207170, DALLAS, TX 753207173 (Tel: 6362004393)

NPI Profile Active May 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2018

Registered at 1155 STATE ROUTE 303, STREETSBORO, OH 442413969 (Tel: 3304222020)

📍
Updated Business Mailing Address May 30, 2018

Registered at 1155 STATE ROUTE 303, STREETSBORO, OH 442413969 (Tel: 3304222020)

👤
Provider Name / Credentials Updated May 30, 2018

Recorded as ETHAN MENGLE, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2018

Optometrist (License #OPT.006684 in OH)

🟢
Initial NPI Registration & Enumeration May 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417449174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2018
Last Update: June 08, 2021
Sole Proprietor: No

Mailing Address

Po Box 207170

Dallas, TX 753207173

Phone: 6362004393

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.