Individual Healthcare Provider
Ethan T Mengle, OD
Provider's NPPES record last updated: June 8, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1417449174
- Primary Specialty
- Optometrist
- Practice Location
- Medina, Ohio
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 10:00 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Optometrist
Eye and Vision Services Providers
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Taxonomy code 152W00000X
Provider-Reported License Information
- Optometrist (Ohio)
- OPT.006684
Practice Locations
Practice Location
409 N Court St
Medina, Ohio 44256-1869
Phone: (330) 725-4680
Additional Practice Location
5697 Darrow Rd
Hudson, Ohio 44236-4013
Phone: (330) 650-0919
Additional Practice Location
1558 Akron Peninsula Rd
Akron, Ohio 44313-5154
Phone: (330) 922-4040
Additional Practice Location
1155 State Route 303
Streetsboro, Ohio 44241-3969
Phone: (330) 422-2020
Fax: (330) 422-0316
Record Information
- Enumeration Date
- May 30, 2018
- Provider's NPPES Record Last Updated
- June 8, 2021
- Certification Date
- June 8, 2021
- NPISignal NPPES Dataset
- August 2026
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