| Middleburg Heights to Opwijk | 3,930.16 mi (6,324.98 km) |
| Middleburg Heights to Ostend | 3,873.04 mi (6,233.06 km) |
| Middleburg Heights to Oud-Heverlee | 3,953.11 mi (6,361.92 km) |
| Middleburg Heights to Oud-Turnhout | 3,950.22 mi (6,357.27 km) |
| Middleburg Heights to Oudenaarde | 3,911.01 mi (6,294.17 km) |
| Middleburg Heights to Oudenburg | 3,877.46 mi (6,240.17 km) |
| Middleburg Heights to Oupeye | 3,994.98 mi (6,429.30 km) |
| Middleburg Heights to Overijse | 3,949.49 mi (6,356.09 km) |
| Middleburg Heights to Overpelt | 3,970.05 mi (6,389.18 km) |
| Middleburg Heights to Paal | 3,966.25 mi (6,383.07 km) |
| Middleburg Heights to Peer | 3,974.13 mi (6,395.74 km) |
| Middleburg Heights to Pepinster | 4,006.27 mi (6,447.47 km) |
| Middleburg Heights to Peruwelz | 3,920.62 mi (6,309.62 km) |
| Middleburg Heights to Perwez | 3,965.47 mi (6,381.81 km) |
| Middleburg Heights to Philippeville | 3,968.52 mi (6,386.71 km) |
