Provider Demographics
NPI:1982891230
Name:OKLAHOMA HEARING SOLUTIONS
Entity Type:Organization
Organization Name:OKLAHOMA HEARING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:IRBY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, CCC-A
Authorized Official - Phone:405-265-1133
Mailing Address - Street 1:408 S MUSTANG RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-7312
Mailing Address - Country:US
Mailing Address - Phone:405-265-1133
Mailing Address - Fax:405-265-1144
Practice Address - Street 1:408 S MUSTANG RD
Practice Address - Street 2:SUITE B
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6754
Practice Address - Country:US
Practice Address - Phone:405-265-1133
Practice Address - Fax:405-265-1144
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OKLAHOMA HEARING SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK280231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOKB5031Medicare PIN