MEDICARE: HEARUSA, INC.

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	237600000X	Audiologist-Hearing Aid Fitter

General Provider Information

NPI Number	:	1588991806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARUSA, INC.

Provider Business Mailing Address
First Line	:	PO BOX 406153
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-1876
Country	:	US
Telephone Number	:	561-478-8770
Fax Number	:	561-598-7231

Provider Business Practice Location Address
First Line	:	7580 CHARLOTTE HWY
Second Line	:	SUITE 400
City	:	INDIAN LAND
State	:	SC
Zip	:	29707-7801
Country	:	US
Telephone Number	:	803-547-9588
Fax Number	:	803-547-9522

Authorized Official
Title or Position	:	CREDENTIALING ADMINISTRATOR
Name	:	CAROL FERRON
Credential	:
Telephone Number	:	561-478-8770

Provider Enumeration Date	:	11/06/2009
Last Update Date	:	11/06/2009

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Directions to “HEARUSA, INC. ” Practice Location

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