Provider Demographics
NPI:1942545124
Name:OPTIMAL HEARING SYSTEMS
Entity Type:Organization
Organization Name:OPTIMAL HEARING SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:JYOTI
Authorized Official - Last Name:PITT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:912-352-8530
Mailing Address - Street 1:300 CREEKSTONE RDG
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3739
Mailing Address - Country:US
Mailing Address - Phone:912-352-8530
Mailing Address - Fax:912-352-1423
Practice Address - Street 1:527 STEPHENSON AVE
Practice Address - Street 2:A-3
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5923
Practice Address - Country:US
Practice Address - Phone:912-352-8530
Practice Address - Fax:912-352-1423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD3780237600000X
SCAUD3899237600000X
GAHADS000186237700000X
SCHAS0413237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty