Healthcare Provider Details
I. General information
NPI: 1366691594
Provider Name (Legal Business Name): ULTIMATE HEARING INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2008
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12871 UNIVERSITY AVE STE 120
CLIVE IA
50325-8256
US
IV. Provider business mailing address
12871 UNIVERSITY AVE STE 120
CLIVE IA
50325-8256
US
V. Phone/Fax
- Phone: 515-223-2320
- Fax: 515-225-1235
- Phone: 515-223-2320
- Fax: 515-225-1235
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 00585 |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | 00585 |
| License Number State | IA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 305R00000X |
| Taxonomy | Preferred Provider Organization |
| License Number | 00585 |
| License Number State | IA |
VIII. Authorized Official
Name:
SCOTT
HUGHES
Title or Position: AUDIOLOGIST/PRESIDENT
Credential: M.A. CCC-A, FAAA
Phone: 515-577-7325