MEDICARE: EARLUX HOLDINGS, 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	231H00000X	Audiologist

General Provider Information

NPI Number	:	1982233904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EARLUX HOLDINGS, INC.

Provider Business Mailing Address
First Line	:	997 W 950 N STE 250
Second Line	:
City	:	CENTERVILLE
State	:	UT
Zip	:	84014-1880
Country	:	US
Telephone Number	:	833-432-7589
Fax Number	:	385-337-3737

Provider Business Practice Location Address
First Line	:	997 W 950 N STE 250
Second Line	:
City	:	CENTERVILLE
State	:	UT
Zip	:	84014-1880
Country	:	US
Telephone Number	:	833-432-7589
Fax Number	:	385-337-3737

Authorized Official
Title or Position	:	PRESIDENT/CHIEF AUDIOLOGIST
Name	:	DR. CORY COOK
Credential	:	AUD
Telephone Number	:	208-308-3346

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	01/27/2026

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