Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Mickle

Individual provider Optician · NPI 1669248407

Samuel Mickle is an Optician in Xenia, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023
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Practice location Address checks out

70 Hospitality Dr
Xenia, OH 45385-2779
Phone: (937) 376-5632
Fax: (937) 376-5490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence OP.017669-S (OH)

Record details

NPI number1669248407
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 2, 2023

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