Provider Demographics
NPI:1811141476
Name:QUALITY HEARING AID INC.
Entity type:Organization
Organization Name:QUALITY HEARING AID INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:BC,HIS, COHC
Authorized Official - Phone:631-727-7676
Mailing Address - Street 1:44210 NORTH RD
Mailing Address - Street 2:WINDSWAY PROFESSIONAL CENTER
Mailing Address - City:SOUTHOLD
Mailing Address - State:NY
Mailing Address - Zip Code:11971-5032
Mailing Address - Country:US
Mailing Address - Phone:631-765-6816
Mailing Address - Fax:631-727-3597
Practice Address - Street 1:44210 NORTH RD
Practice Address - Street 2:WINDSWAY PROFESSIONAL CENTER
Practice Address - City:SOUTHOLD
Practice Address - State:NY
Practice Address - Zip Code:11971-5032
Practice Address - Country:US
Practice Address - Phone:631-765-6816
Practice Address - Fax:631-727-3597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY694815237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1407019821OtherNPI
NY1801054291OtherNPI