Provider Demographics
NPI:1629511803
Name:COLUMBUS HEARING CENTER LLC
Entity Type:Organization
Organization Name:COLUMBUS HEARING CENTER LLC
Other - Org Name:THE HEARING CENTER OF OHIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER/SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TZAGOURNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-626-9428
Mailing Address - Street 1:262 NEIL AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-7309
Mailing Address - Country:US
Mailing Address - Phone:614-626-9428
Mailing Address - Fax:614-670-8530
Practice Address - Street 1:262 NEIL AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-7309
Practice Address - Country:US
Practice Address - Phone:614-626-9428
Practice Address - Fax:614-670-8530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03175237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty