Provider Demographics
NPI:1356670582
Name:SOONER HEARING AIDS, LLC
Entity Type:Organization
Organization Name:SOONER HEARING AIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, HEARING INSTRUMENT SPECIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:JD
Authorized Official - Last Name:KAISER
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING INSTRUMENT S
Authorized Official - Phone:860-946-7079
Mailing Address - Street 1:1316 NW SHERIDAN RD
Mailing Address - Street 2:PNB 151
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-5212
Mailing Address - Country:US
Mailing Address - Phone:580-701-6425
Mailing Address - Fax:580-701-6425
Practice Address - Street 1:900 17TH ST
Practice Address - Street 2:SPECIALTY CLINIC, 2ND FLOOR
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-2448
Practice Address - Country:US
Practice Address - Phone:580-701-6425
Practice Address - Fax:580-701-6425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-17
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTTEMP PERMIT237700000X
CT404237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty