Healthcare Provider Details

I. General information

NPI: 1912814773
Provider Name (Legal Business Name): MEGAN VITANZA AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11925 PEARL RD STE 408
STRONGSVILLE OH
44136-3343
US

IV. Provider business mailing address

5709 SMITH RD STE A
BROOKPARK OH
44142-2056
US

V. Phone/Fax

Practice location:
  • Phone: 440-376-5405
  • Fax: 330-688-2190
Mailing address:
  • Phone: 440-376-5405
  • Fax: 330-688-2190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA.02667
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: