Provider Demographics
NPI:1386789519
Name:LUCENAY HEARING AID SERVICE INC
Entity type:Organization
Organization Name:LUCENAY HEARING AID SERVICE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:C
Authorized Official - Last Name:LUCENAY
Authorized Official - Suffix:
Authorized Official - Credentials:FITTER AND DISPENSER
Authorized Official - Phone:254-752-3315
Mailing Address - Street 1:2225 WASHINGTON
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76701-1018
Mailing Address - Country:US
Mailing Address - Phone:254-752-3315
Mailing Address - Fax:254-752-1819
Practice Address - Street 1:2225 WASHINGTON
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76701-1018
Practice Address - Country:US
Practice Address - Phone:254-752-3315
Practice Address - Fax:254-752-1819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50096237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty