Provider Demographics
NPI:1215202817
Name:HEAR GEAR
Entity Type:Organization
Organization Name:HEAR GEAR
Other - Org Name:ELK CITY HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEWARD
Authorized Official - Middle Name:LAWAYNE
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:580-243-0939
Mailing Address - Street 1:2900 W 3RD ST BOX 451
Mailing Address - Street 2:
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73644-4324
Mailing Address - Country:US
Mailing Address - Phone:580-243-0939
Mailing Address - Fax:
Practice Address - Street 1:2900 W 3RD ST
Practice Address - Street 2:
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-4324
Practice Address - Country:US
Practice Address - Phone:580-243-0939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty