Provider Demographics
NPI:1245112812
Name:ACUITY RETAIL WHALEY, LLC
Entity type:Organization
Organization Name:ACUITY RETAIL WHALEY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEASELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-584-9586
Mailing Address - Street 1:460 PALM COAST PKWY SW STE 4
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-4786
Mailing Address - Country:US
Mailing Address - Phone:386-585-4161
Mailing Address - Fax:
Practice Address - Street 1:460 PALM COAST PKWY SW STE 4
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-4786
Practice Address - Country:US
Practice Address - Phone:386-585-4161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty