Provider Demographics
NPI:1386986610
Name:THE HEARING AID CENTER
Entity type:Organization
Organization Name:THE HEARING AID CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:RETEY
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:727-378-8552
Mailing Address - Street 1:10043 US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-3742
Mailing Address - Country:US
Mailing Address - Phone:727-378-8552
Mailing Address - Fax:727-378-8552
Practice Address - Street 1:10043 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-3742
Practice Address - Country:US
Practice Address - Phone:727-378-8552
Practice Address - Fax:727-378-8552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment