Individual provider Active NPI

Cindy Lou Mizer

  • Optician
  • New Philadelphia, OH
National Provider Identifier
1306533781
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
OP.005004-SC Issued in OH
Practice address
231 Bluebell Dr SW
New Philadelphia, OH 44663-9601
Phone
(330) 339-6016
Fax
(330) 339-6016
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X OP.005004-SC OH Primary

Addresses

Primary practice location

231 Bluebell Dr SW
New Philadelphia, OH 44663-9601

Mailing address

231 Bluebell Dr SW
New Philadelphia, OH 44663-9601
Phone (330) 339-6016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OP.005004-SCOHMDOptician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1306533781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 BLUEBELL DR SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639601",
            "telephone_number": "330-339-6016",
            "fax_number": "330-339-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 BLUEBELL DR SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639601",
            "telephone_number": "330-339-6016",
            "fax_number": "330-339-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZER",
        "first_name": "CINDY",
        "middle_name": "LOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "OP.005004-SC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.