Provider Demographics
NPI:1366645152
Name:ECONOMY HEARING AID CENTER
Entity Type:Organization
Organization Name:ECONOMY HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:580-233-0321
Mailing Address - Street 1:114 E BROADWAY AVE
Mailing Address - Street 2:STE. B
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-4127
Mailing Address - Country:US
Mailing Address - Phone:580-233-0321
Mailing Address - Fax:580-233-5991
Practice Address - Street 1:114 E BROADWAY AVE
Practice Address - Street 2:STE. B
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-4127
Practice Address - Country:US
Practice Address - Phone:580-233-0321
Practice Address - Fax:580-233-5991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment