Provider Demographics
NPI:1245280973
Name:GROHLER HEARING AID CENTER, INC.
Entity type:Organization
Organization Name:GROHLER HEARING AID CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARI
Authorized Official - Middle Name:L
Authorized Official - Last Name:GROHLER
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID SPECIALI
Authorized Official - Phone:757-497-3900
Mailing Address - Street 1:291 INDEPENDENCE BLVD
Mailing Address - Street 2:PEMBROKE 4, SUITE 132
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-5481
Mailing Address - Country:US
Mailing Address - Phone:757-497-3900
Mailing Address - Fax:757-497-5221
Practice Address - Street 1:291 INDEPENDENCE BLVD
Practice Address - Street 2:PEMBROKE 4, SUITE 132
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-5481
Practice Address - Country:US
Practice Address - Phone:757-497-3900
Practice Address - Fax:757-497-5221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA001201237700000X
VA001574237700000X
VA002190237700000X
VA001397237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA139590OtherANTHEM BC/BS
VA40089OtherSENTARA/OPTIMA HEALTH INS