Healthcare Provider Details
I. General information
NPI: 1578519112
Provider Name (Legal Business Name): BIG ISLAND HEARING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9 LEI ST
HILO HI
96720-4143
US
IV. Provider business mailing address
9 LEI ST
HILO HI
96720-4143
US
V. Phone/Fax
- Phone: 808-935-1299
- Fax: 808-961-3452
- Phone: 808-935-1299
- Fax: 808-961-3452
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 231H00000X |
| License Number State | HI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | HI |
VIII. Authorized Official
Name: MR.
SHANNON
Y
CHING
Title or Position: OWNER/MANAGER
Credential: M.S.P.A.
Phone: 808-935-1299