Provider Demographics
NPI:1790807295
Name:HEARCARE AUDIOLOGY CENTER INC
Entity Type:Organization
Organization Name:HEARCARE AUDIOLOGY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:O
Authorized Official - Last Name:THORPE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:941-316-0406
Mailing Address - Street 1:2800 HILLVIEW ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3221
Mailing Address - Country:US
Mailing Address - Phone:941-316-0406
Mailing Address - Fax:941-316-9317
Practice Address - Street 1:1445 S OSPREY AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2920
Practice Address - Country:US
Practice Address - Phone:941-316-0406
Practice Address - Fax:941-316-9317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS2772ZMedicare ID - Type UnspecifiedDR. WILLIAM J. LOPEZ II
FLS0919ZMedicare ID - Type UnspecifiedDR. MARY O. THORPE
FLK6586Medicare ID - Type UnspecifiedGROUP #
FLP24251Medicare UPIN