Provider Demographics
NPI:1245323344
Name:LEWIS HEARING AID CENTER INC
Entity type:Organization
Organization Name:LEWIS HEARING AID CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-725-1600
Mailing Address - Street 1:142 BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-2052
Mailing Address - Country:US
Mailing Address - Phone:401-725-1600
Mailing Address - Fax:401-725-1601
Practice Address - Street 1:142 BROAD STREET
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-2052
Practice Address - Country:US
Practice Address - Phone:401-725-1600
Practice Address - Fax:401-725-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI22332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
401448OtherBLUE CHIP
277790OtherBLUE CROSS 65
RILH00016Medicaid