Healthcare Provider Details

I. General information

NPI: 1831541309
Provider Name (Legal Business Name): FREEDOM HEARING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2016
Last Update Date: 10/27/2021
Certification Date: 10/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13511 S MUR LEN RD STE 128
OLATHE KS
66062-1688
US

IV. Provider business mailing address

6701 W 64TH ST STE 125
OVERLAND PARK KS
66202-4007
US

V. Phone/Fax

Practice location:
  • Phone: 913-276-5858
  • Fax:
Mailing address:
  • Phone: 913-717-4001
  • Fax: 913-701-3317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD SCOTT WEIDEMEYER
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential:
Phone: 913-717-4001