Healthcare Provider Details

I. General information

NPI: 1558517698
Provider Name (Legal Business Name): CARRIE ANN LEWIS AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARRIE ANN LANDIS AU.D., CCC-A

II. Dates (important events)

Enumeration Date: 08/08/2008
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 STATE RD STE 201
DARTMOUTH MA
02747-3322
US

IV. Provider business mailing address

1822 N MAIN ST STE 201
FALL RIVER MA
02720-1350
US

V. Phone/Fax

Practice location:
  • Phone: 508-910-2221
  • Fax: 508-910-2214
Mailing address:
  • Phone: 508-674-3334
  • Fax: 508-674-5855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD00187
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAUD757
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD757
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: