Healthcare Provider Details

I. General information

NPI: 1285222406
Provider Name (Legal Business Name): SCHROEDER AUDIOLOGY & HEARING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 07/07/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 W HEFNER RD UNIT 720809
OKLAHOMA CITY OK
73172-4645
US

IV. Provider business mailing address

PO BOX 720809
OKLAHOMA CITY OK
73172-0809
US

V. Phone/Fax

Practice location:
  • Phone: 405-492-0075
  • Fax:
Mailing address:
  • Phone: 405-492-0075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTA SCHROEDER
Title or Position: AUDIOLOGIST
Credential: AU.D.
Phone: 405-492-0075