Provider Demographics
NPI:1124551361
Name:PRECISION HEARING AID CENTER LLC
Entity Type:Organization
Organization Name:PRECISION HEARING AID CENTER LLC
Other - Org Name:BELTONE HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:MCELDOWNEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:HIS
Authorized Official - Phone:918-787-7902
Mailing Address - Street 1:407 S MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74344-3436
Mailing Address - Country:US
Mailing Address - Phone:918-787-7902
Mailing Address - Fax:918-787-7912
Practice Address - Street 1:407 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-3436
Practice Address - Country:US
Practice Address - Phone:918-787-7902
Practice Address - Fax:918-787-7912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1073237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty