Healthcare Provider Details

I. General information

NPI: 1639372428
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: 12/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6803 E RENO AVE
MIDWEST CITY OK
73110-2167
US

IV. Provider business mailing address

351 N AIR DEPOT BLVD STE AA
MIDWEST CITY OK
73110-1794
US

V. Phone/Fax

Practice location:
  • Phone: 405-733-8286
  • Fax: 405-732-9765
Mailing address:
  • Phone: 405-733-8286
  • Fax: 405-732-9765

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: TODD BRANNON
Title or Position: MANAGER
Credential: HIS
Phone: 405-733-8286