Provider Demographics
NPI:1164258224
Name:HEARING CENTER OF VERMONT
Entity type:Organization
Organization Name:HEARING CENTER OF VERMONT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:802-487-9902
Mailing Address - Street 1:5452 US ROUTE 5 STE F
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-9037
Mailing Address - Country:US
Mailing Address - Phone:802-487-9902
Mailing Address - Fax:802-487-9903
Practice Address - Street 1:5452 US ROUTE 5 STE F
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-9037
Practice Address - Country:US
Practice Address - Phone:802-487-9902
Practice Address - Fax:802-487-9903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment