Provider Demographics
NPI:1003134453
Name:MIRACLE-EAR
Entity Type:Organization
Organization Name:MIRACLE-EAR
Other - Org Name:CLARITY HEARING SYSTEMS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DON
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID DISPENSE
Authorized Official - Phone:609-268-3662
Mailing Address - Street 1:275 FORKED NECK RD
Mailing Address - Street 2:
Mailing Address - City:SHAMONG
Mailing Address - State:NJ
Mailing Address - Zip Code:08088-9423
Mailing Address - Country:US
Mailing Address - Phone:609-268-3662
Mailing Address - Fax:609-268-3343
Practice Address - Street 1:3710 ROUTE 9 S
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-4801
Practice Address - Country:US
Practice Address - Phone:732-462-8688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ774332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment