Provider Demographics
NPI:1013958529
Name:HEARING CLINIC, INC.
Entity type:Organization
Organization Name:HEARING CLINIC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:IKE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:336-883-2815
Mailing Address - Street 1:801 N LINDSAY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3942
Mailing Address - Country:US
Mailing Address - Phone:336-883-2815
Mailing Address - Fax:336-882-1234
Practice Address - Street 1:801 N LINDSAY ST
Practice Address - Street 2:SUITE A
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3942
Practice Address - Country:US
Practice Address - Phone:336-883-2815
Practice Address - Fax:336-882-1234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0281BOtherBCBS NC GROUP NUMBER
NC2720969Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER