Organization Active NPI

168 Optical, LLC

  • Eyewear Supplier
  • Parma Heights, OH
National Provider Identifier
1699361444
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
168 OPTICAL, LLC
Practice address
6656 Pearl Rd
Parma Heights, OH 44130-3820
Phone
(440) 613-5222
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Mrs. Amy Jean Mullen, ABOCNPI 1710382395
Title
Practice Manager Licensed Optician
Phone
(440) 613-5222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

6656 Pearl Rd
Parma Heights, OH 44130-3820

Mailing address

6656 Pearl Rd
Parma Heights, OH 44130-3820
Phone (440) 613-5222

Other identifiers 1

IdentifierTypeStateIssuer
0476653MedicaidOH

National Provider Directory

National Provider Directory

Locations

6656 Pearl Rd
Parma Heights, OH 44130
Phone (440) 613-5222

6315 Pearl Rd
Ste 206
Parma Heights, OH 44130
Phone (440) 613-5222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1699361444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6656 PEARL RD",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303820",
            "telephone_number": "440-613-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6656 PEARL RD",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303820",
            "telephone_number": "440-613-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "168 OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER LICENSED OPTICIAN",
        "authorized_official_telephone_number": "440-613-5222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476653",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.