Healthcare Provider Details

I. General information

NPI: 1386789287
Provider Name (Legal Business Name): OCEAN STATE HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 10/05/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 WATERMAN ST
PROVIDENCE RI
02906-3109
US

IV. Provider business mailing address

163 WATERMAN ST
PROVIDENCE RI
02906-3109
US

V. Phone/Fax

Practice location:
  • Phone: 401-521-2580
  • Fax: 401-521-2837
Mailing address:
  • Phone: 401-521-2580
  • Fax: 401-521-2837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL LANCIA
Title or Position: PRESIDENT
Credential:
Phone: 401-521-2580