Healthcare Provider Details

I. General information

NPI: 1578472528
Provider Name (Legal Business Name): EMPIRE HEARING INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7921 JONES BRANCH DR STE 230
MC LEAN VA
22102-3333
US

IV. Provider business mailing address

8301 CRESTRIDGE RD
FAIRFAX STATION VA
22039-2311
US

V. Phone/Fax

Practice location:
  • Phone: 315-749-4740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NATALIE NUNEZ
Title or Position: OWNER
Credential: AU.D.
Phone: 315-749-4740