Healthcare Provider Details

I. General information

NPI: 1689508269
Provider Name (Legal Business Name): STEPHANY AELING OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 ROLLING MEADOWS DR
CHILLICOTHEE OH
45601-4085
US

IV. Provider business mailing address

232 ROLLING MEADOWS DR
CHILLICOTHEE OH
45601-4085
US

V. Phone/Fax

Practice location:
  • Phone: 614-815-9919
  • Fax:
Mailing address:
  • Phone: 614-815-9919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.007505
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: