Healthcare Provider Details

I. General information

NPI: 1972613263
Provider Name (Legal Business Name): THE HEARING SHOPPE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 W HIGHWAY 146 SUITE 300
PEWEE VALLEY KY
40056-8109
US

IV. Provider business mailing address

7600 W HIGHWAY 146 SUITE 300
PEWEE VALLEY KY
40056-8109
US

V. Phone/Fax

Practice location:
  • Phone: 502-241-6519
  • Fax: 502-241-6589
Mailing address:
  • Phone: 502-241-6519
  • Fax: 502-241-6589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number0308
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number0720
License Number StateKY

VIII. Authorized Official

Name: TINA ESTERLE BOYLE
Title or Position: OWNER/AUDIOLOGIST
Credential: MS, CCC-A
Phone: 502-241-6519