Individual
MISTY TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 HEBRON RD, HEATH, OH 43056-1182
(740) 522-2553
(740) 522-5346
Mailing address
547 WELSH HILLS RD, GRANVILLE, OH 43023-9559
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.017898-S
OH
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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