Provider Demographics
NPI:1063023174
Name:ALPHA & OMEGA HEARING CENTERS
Entity Type:Organization
Organization Name:ALPHA & OMEGA HEARING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:CALKINS
Authorized Official - Suffix:
Authorized Official - Credentials:HAS
Authorized Official - Phone:770-995-1590
Mailing Address - Street 1:ALPHA & OMEGA HEARING CENTERS
Mailing Address - Street 2:250 LANGLEY DRIVE, SUITE 1106
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046
Mailing Address - Country:US
Mailing Address - Phone:770-995-1590
Mailing Address - Fax:
Practice Address - Street 1:ALPHA & OMEGA HEARING CENTERS
Practice Address - Street 2:250 LANGLEY DRIVE, SUITE 1106
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046
Practice Address - Country:US
Practice Address - Phone:770-995-1590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty