Provider Demographics
NPI:1497898654
Name:OLSEN HEARING SERVICES INC.
Entity Type:Organization
Organization Name:OLSEN HEARING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:R
Authorized Official - Last Name:OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:216-485-5767
Mailing Address - Street 1:5267 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-1550
Mailing Address - Country:US
Mailing Address - Phone:216-485-5767
Mailing Address - Fax:216-485-5768
Practice Address - Street 1:5267 PEARL RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-1550
Practice Address - Country:US
Practice Address - Phone:216-485-5767
Practice Address - Fax:216-485-5768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA00215261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0420066Medicaid
1144203530Medicare UPIN
0583271Medicare ID - Type Unspecified