MEDICARE: MIRACLE EAR

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	:	1891994489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIRACLE EAR

Provider Business Mailing Address
First Line	:	5000 CHESHIRE LN N
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55446-3706
Country	:	US
Telephone Number	:	888-333-9152
Fax Number	:	763-268-4240

Provider Business Practice Location Address
First Line	:	1881 E MADISON AVE
Second Line	:
City	:	MANKATO
State	:	MN
Zip	:	56001-6200
Country	:	US
Telephone Number	:	507-388-4340
Fax Number	:	507-388-4345

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	PAUL M D'AMICO
Credential	:
Telephone Number	:	888-333-9152

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	07/13/2007

Similar Medicare Providers

1538186911 — WALMART INC.
Practice Location Address:

1881 MADISON AVE
MANKATO, MN
56001-6200

Practice Phone: 507-625-1660
Practice Fax:

1609959139 — WAL-MART STORES, INC.
Practice Location Address:

1881 E MADISON AVE
MANKATO, MN
56001-6200

Practice Phone: 507-625-9318
Practice Fax:

1477632057 — DR. TIMOTHY MICHAEL FLAHERTY O.D.
Practice Location Address:

1881 E MADISON AVE
MANKATO, MN
56001-6200

Practice Phone: 507-388-9805
Practice Fax: 507-388-9812

1720167273 — NICHOLAS VINCELLI OPTOMETRY, INC.
Practice Location Address:

1881 E MADISON AVE , WAL-MART VISION CENTER STORE #1473
MANKATO, MN
56001-6200

Practice Phone: 507-388-9805
Practice Fax: 507-388-9812

1982833844 — DR. ELISHA N NEHRING PHARMD
Practice Location Address:

1881 MADISON AVE
MANKATO, MN
56001-6200

Practice Phone: 507-625-1660
Practice Fax: 507-625-7676

1497353205 — BENJAMIN JACOBI PHARM.D.
Practice Location Address:

1881 MADISON AVE
MANKATO, MN
56001-6200

Practice Phone: 507-625-1660
Practice Fax:

Directions to “MIRACLE EAR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.