Healthcare Provider Details

I. General information

NPI: 1366645152
Provider Name (Legal Business Name): ECONOMY HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E BROADWAY AVE STE. B
ENID OK
73701-4127
US

IV. Provider business mailing address

114 E BROADWAY AVE STE. B
ENID OK
73701-4127
US

V. Phone/Fax

Practice location:
  • Phone: 580-233-0321
  • Fax: 580-233-5991
Mailing address:
  • Phone: 580-233-0321
  • Fax: 580-233-5991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: CASEY PENFIELD
Title or Position: MANAGER
Credential: HIS
Phone: 580-233-0321