Healthcare Provider Details

I. General information

NPI: 1316079320
Provider Name (Legal Business Name): VISTA HEARING INSTRUMENTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7506 TYLER BLVD
MENTOR OH
44060-5450
US

IV. Provider business mailing address

7506 TYLER BLVD
MENTOR OH
44060-5450
US

V. Phone/Fax

Practice location:
  • Phone: 440-953-8168
  • Fax:
Mailing address:
  • Phone: 440-953-8168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: WALTER H WHITNEY
Title or Position: PRESIDENT
Credential: BC-HIS
Phone: 440-953-8168