Basic Information
| Provider Information | |||||||||
| NPI: | 1467579276 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | AUDIOEAR HEARING AID CENTERS, INC. | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
| MiddleName: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | AUDIOEAR HEARING & AUDIOLOGY | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18747 N REEMS RD STE 540 | ||||||||
| Address2: | |||||||||
| City: | SURPRISE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853748645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6232141700 | ||||||||
| FaxNumber: | 6232146077 | ||||||||
| Practice Location | |||||||||
| Address1: | 18747 N REEMS RD STE 540 | ||||||||
| Address2: | |||||||||
| City: | SURPRISE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853748645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6232141700 | ||||||||
| FaxNumber: | 6232146077 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | ZAVOS | ||||||||
| AuthorizedOfficialFirstName: | DOUGLAS | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | AUDIOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 6232147100 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | AU.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | DA1919 | AZ | X | Suppliers | Durable Medical Equipment & Medical Supplies | 332S00000X | DA1919 | AZ | X | Suppliers | Hearing Aid Equipment |
No ID Information.