Healthcare Provider Details

I. General information

NPI: 1285706598
Provider Name (Legal Business Name): WELLS HEARING AID CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6846 PACIFIC ST SUITE 102
OMAHA NE
68106-1156
US

IV. Provider business mailing address

6846 PACIFIC ST SUITE 102
OMAHA NE
68106-1156
US

V. Phone/Fax

Practice location:
  • Phone: 402-393-6633
  • Fax: 402-553-5125
Mailing address:
  • Phone: 402-393-6633
  • Fax: 402-553-5125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number626
License Number StateNE

VIII. Authorized Official

Name: MR. PHILIP C SMITH
Title or Position: OWNER, VP, SECRETARY, DIRECTOR
Credential: HEARING AID FITTER
Phone: 402-393-6633