MEDICARE: PREMIER HEARING CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist

General Provider Information

NPI Number	:	1487595583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER HEARING CARE, LLC

Provider Business Mailing Address
First Line	:	1324 SW 89TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6352
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1324 SW 89TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6352
Country	:	US
Telephone Number	:	405-313-9640
Fax Number	:

Authorized Official
Title or Position	:	HIS
Name	:	HEATHER DAVIS
Credential	:	HIS
Telephone Number	:	405-313-9640

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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