Provider Demographics
NPI:1891188322
Name:J LOPEZ HEARING AIDS INC.
Entity Type:Organization
Organization Name:J LOPEZ HEARING AIDS INC.
Other - Org Name:BELTONE HEARING CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:HAS
Authorized Official - Phone:239-772-8189
Mailing Address - Street 1:1407 DEL PRADO BLVD S
Mailing Address - Street 2:SUITE #14
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-3704
Mailing Address - Country:US
Mailing Address - Phone:239-772-8189
Mailing Address - Fax:
Practice Address - Street 1:1407 DEL PRADO BLVD S
Practice Address - Street 2:SUITE #14
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-3704
Practice Address - Country:US
Practice Address - Phone:239-772-8189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS1675237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty