Provider Demographics
NPI:1619094836
Name:CARPENTER HEARING AID CENTERS, INC
Entity Type:Organization
Organization Name:CARPENTER HEARING AID CENTERS, INC
Other - Org Name:MIRACLE-EAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-598-7777
Mailing Address - Street 1:8900 VISCOUNT BLVD
Mailing Address - Street 2:A-M
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-5897
Mailing Address - Country:US
Mailing Address - Phone:915-598-7777
Mailing Address - Fax:915-598-0341
Practice Address - Street 1:8900 VISCOUNT BLVD
Practice Address - Street 2:A-M
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-5897
Practice Address - Country:US
Practice Address - Phone:915-598-7777
Practice Address - Fax:915-598-0341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50336237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX516504OtherBLUE CROSS BLUE SHIELD