MYTHIC EYEWEAR LLC NPI 1982462875

NPI Information

  • NPI: 1982462875
  • Provider Name: MYTHIC EYEWEAR LLC
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Address: 1025 AHWENASA TRL
    MACON, GA
    ZIP 31220
  • Phone: (478) 973-2227

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NPI Details

MYTHIC EYEWEAR LLC is an optician technician technologist in Macon, GA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. MYTHIC EYEWEAR LLC NPI is 1982462875. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1025 AHWENASA TRL
MACON, GA
ZIP 31220-606
Phone: (478) 973-2227

The provider's authorized official is Travis Sconyers .
The authorized official title is Owner and has the following contact phone number (478) 973-2227.

The enumeration date for this NPI number is 3/6/2024 and was last updated on 3/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156F00000XTechnician/TechnologistNo
2156FC0800XTechnician/TechnologistContact LensNo
3156FC0801XTechnician/TechnologistContact Lens FitterNo
4156FX1100XTechnician/TechnologistOphthalmicNo
5156FX1101XTechnician/TechnologistOphthalmic AssistantNo
6156FX1201XTechnician/TechnologistOptometric AssistantNo
7156FX1202XTechnician/TechnologistOptometric TechnicianNo
8156FX1800XTechnician/TechnologistOpticianYes
9332H00000XEyewear SupplierNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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