Provider Demographics
NPI:1861748626
Name:CLEAR CHOICE HEARING AID CENTERS, LLC
Entity type:Organization
Organization Name:CLEAR CHOICE HEARING AID CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:765-488-0859
Mailing Address - Street 1:2901A E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-3545
Mailing Address - Country:US
Mailing Address - Phone:765-488-0859
Mailing Address - Fax:
Practice Address - Street 1:638 WAGNER AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-2649
Practice Address - Country:US
Practice Address - Phone:937-316-6689
Practice Address - Fax:937-316-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03058332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment