Healthcare Provider Details

I. General information

NPI: 1548463334
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

3555 NW 58TH ST STE. 100
OKLAHOMA CITY OK
73112-4707
US

IV. Provider business mailing address

3555 NW 58TH ST STE. 100
OKLAHOMA CITY OK
73112-4707
US

V. Phone/Fax

Practice location:
  • Phone: 405-917-5426
  • Fax: 405-917-5527
Mailing address:
  • Phone: 405-917-5426
  • Fax: 405-917-5527

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: DAVID WHITMAN
Title or Position: MANAGER
Credential: HIS
Phone: 405-917-5426