Provider Demographics
NPI:1942470166
Name:JACK JONES HEARING CENTERS, INC
Entity Type:Organization
Organization Name:JACK JONES HEARING CENTERS, INC
Other - Org Name:CONNECT HEARING, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCE AND CONTROLLING
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VESELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-303-5380
Mailing Address - Street 1:750 N COMMONS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-7940
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:630-303-5385
Practice Address - Street 1:509 W PEARL ST
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-2043
Practice Address - Country:US
Practice Address - Phone:817-279-8866
Practice Address - Fax:817-573-6301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332S00000XSuppliersHearing Aid Equipment
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112774801Medicaid
TX0615164OtherAETNA
TX530294OtherBCBS
TX530294OtherBCBS