Organization
168 OPTICAL, LLC
Active
Organization
168 OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY JEAN MULLEN ABOC (PRACTICE MANAGER LICENSED OPTICIAN)
(440) 613-5222
Entity
Organization
Contact information
Practice address
6656 PEARL RD, PARMA HEIGHTS, OH 44130-3820
(440) 613-5222
Mailing address
6656 PEARL RD, PARMA HEIGHTS, OH 44130-3820
(440) 613-5222
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0476653
—
OH
Enumeration date
12/16/2020
Last updated
05/28/2025
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