Provider Demographics
NPI:1497436307
Name:ACUITY RETAIL SIMPSON, LLC
Entity Type:Organization
Organization Name:ACUITY RETAIL SIMPSON, LLC
Other - Org Name:ACUITY HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEASELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-584-9586
Mailing Address - Street 1:4725 AMARRA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-1844
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1567 N EASTMAN RD STE 9
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37664-2680
Practice Address - Country:US
Practice Address - Phone:423-398-5555
Practice Address - Fax:423-328-0795
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACUITY RETAIL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-25
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty