Provider Demographics
NPI:1144668625
Name:ATHENS HEARING AID CENTER
Entity type:Organization
Organization Name:ATHENS HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HIS
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:RODGERS
Authorized Official - Last Name:VASSY
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:706-369-7836
Mailing Address - Street 1:1580 PRINCE AVE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-6006
Mailing Address - Country:US
Mailing Address - Phone:706-369-7836
Mailing Address - Fax:706-395-6148
Practice Address - Street 1:1580 PRINCE AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-6006
Practice Address - Country:US
Practice Address - Phone:706-369-7836
Practice Address - Fax:706-395-6148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332S00000XSuppliersHearing Aid Equipment
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty