Provider Demographics
NPI:1013263458
Name:CLEAR CHOICE HEARING AID CENTERS, LLC.
Entity Type:Organization
Organization Name:CLEAR CHOICE HEARING AID CENTERS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:765-488-0859
Mailing Address - Street 1:3044 WESTERN AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CONNERSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47331-2555
Mailing Address - Country:US
Mailing Address - Phone:765-488-0859
Mailing Address - Fax:765-488-0869
Practice Address - Street 1:2901A E MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-3545
Practice Address - Country:US
Practice Address - Phone:765-488-0859
Practice Address - Fax:765-488-0859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001207A332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment