Provider Demographics
NPI:1417125758
Name:LEHIGH VALLEY HEARING, LLC
Entity Type:Organization
Organization Name:LEHIGH VALLEY HEARING, LLC
Other - Org Name:SEARS HEARING AIDCENTER/MIRACLE EAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHRIVE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:610-838-6637
Mailing Address - Street 1:1236 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1363
Mailing Address - Country:US
Mailing Address - Phone:610-838-6637
Mailing Address - Fax:
Practice Address - Street 1:200 WHITEHALL MALL
Practice Address - Street 2:C/O MIRACLE EAR
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052
Practice Address - Country:US
Practice Address - Phone:610-776-2266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD00863-01332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment