ETHAN T MENGLE OD
NPI 1417449174
Optometrist in Medina, OH

Active since May 30, 2018PECOS Enrolled
409 N COURT ST, MEDINA, OH 44256(330) 725-4680(330) 633-7165 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan T Mengle Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN T MENGLE OD (NPI 1417449174) is an individual optometrist in Medina, Ohio, licensed in Ohio (OPT.006684) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417449174
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameETHAN T MENGLECredential: OD
Location Address409 N COURT STMedina, OH 44256-1869
Mailing AddressPo Box 207170Dallas, TX 75320-7173 · (636) 200-4393 · Fax (636) 527-0766
Fax(330) 633-7165
Sole ProprietorNo
Enumeration DateMay 30, 2018
Last NPPES UpdateJune 8, 2021
NPPES CertifiedJune 8, 2021
NPI 1417449174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OH · OPT.006684
Definition

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.

409 N COURT ST, Medina, OH 44256

Secondary Practice Locations 3

Location 11558 Akron Peninsula RdAkron, OH 44313-5154 · Phone (330) 922-4040
Location 25697 Darrow RdHudson, OH 44236-4013 · Phone (330) 650-0919
Location 31155 State Route 303Streetsboro, OH 44241-3969 · Phone (330) 422-2020 · Fax (330) 422-0316

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ethan T Mengle Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
409 N COURT ST
MEDINA, OH 44256
Optometrist
409 N COURT ST
MEDINA, OH 44256
Optometrist
409 N COURT ST
MEDINA, OH 44256
Optometrist
409 N COURT ST
MEDINA, OH 44256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Mengle's NPI number?

The NPI number for Ethan Mengle is 1417449174. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Ethan Mengle located?

Ethan Mengle practices at 409 N Court St, Medina, OH 44256. The listed phone number is (330) 725-4680.

What is Ethan Mengle's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ethan Mengle enrolled in Medicare?

Yes. Ethan Mengle is registered in the Medicare PECOS enrollment system.

What insurance does Ethan Mengle accept?

Health plans from CareSource list Ethan Mengle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Mengle was last updated on June 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.