Individual
TYLER RAY MANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5274 SALEM AVE, TROTWOOD, OH 45426-1702
(937) 887-3937
Mailing address
360 BRIDLE LN S, WEST CARROLLTON, OH 45449-2118
(513) 465-3613
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007441
OH
Other
Enumeration date
11/04/2024
Last updated
12/26/2025
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