Provider Demographics
NPI:1598217358
Name:HEARING AID EXPRESS INC
Entity Type:Organization
Organization Name:HEARING AID EXPRESS INC
Other - Org Name:HEARING AID EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:POTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-228-4870
Mailing Address - Street 1:900 8TH ST STE 725
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-6808
Mailing Address - Country:US
Mailing Address - Phone:940-228-4870
Mailing Address - Fax:940-228-4763
Practice Address - Street 1:1625 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-2343
Practice Address - Country:US
Practice Address - Phone:940-279-4327
Practice Address - Fax:940-264-4330
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING AID EXPRESS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-27
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX532734OtherBCBS