Organization
MYTHIC EYEWEAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS SCONYERS LDO (OWNER)
(478) 973-2227
Entity
Organization
Contact information
Practice address
1025 AHWENASA TRL, MACON, GA 31220-3606
(478) 973-2227
Mailing address
4658 PRESIDENTIAL PKWY # 1058, MACON, GA 31206-8708
(478) 973-2227
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1100X
Ophthalmic Technician/Technologist
—
—
156FX1101X
Ophthalmic Assistant
—
—
156FX1201X
Optometric Assistant Technician
—
—
156FX1202X
Optometric Technician
—
—
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us