Provider Demographics
NPI:1639230832
Name:ZENITH OMNI HEARING CENTERS INC
Entity Type:Organization
Organization Name:ZENITH OMNI HEARING CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:BOARD CERT HEAR INST
Authorized Official - Phone:203-453-6611
Mailing Address - Street 1:111 PARK STREET
Mailing Address - Street 2:SUITE K
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511
Mailing Address - Country:US
Mailing Address - Phone:203-624-9857
Mailing Address - Fax:203-562-4327
Practice Address - Street 1:111 PARK STREET
Practice Address - Street 2:SUITE K
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511
Practice Address - Country:US
Practice Address - Phone:203-624-9857
Practice Address - Fax:203-562-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000192237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty