Provider Demographics
NPI:1215698022
Name:MISSION HEARING, LLC
Entity type:Organization
Organization Name:MISSION HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID DISPENSER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PARASILITI
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:716-708-4343
Mailing Address - Street 1:20 BROWN AVENUE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-7167
Mailing Address - Country:US
Mailing Address - Phone:716-708-8277
Mailing Address - Fax:716-708-4344
Practice Address - Street 1:106 W 3RD ST # M
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-5105
Practice Address - Country:US
Practice Address - Phone:716-708-4343
Practice Address - Fax:716-708-4344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY140000052163OtherNYS UNIQUE ID NUMBER