=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235017773
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASSURED HEARING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2025
-----------------------------------------------------
Last Update Date | 08/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 131 CONTINENTAL DR STE 305
-----------------------------------------------------
City | NEWARK
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19713-4324
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 689-304-3749
-----------------------------------------------------
Fax | 407-403-5538
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 131 CONTINENTAL DR STE 305
-----------------------------------------------------
City | NEWARK
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19713-4324
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 689-304-3749
-----------------------------------------------------
Fax | 407-403-5538
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | TYRONE F MOORE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 689-304-3749
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237600000X
-----------------------------------------------------
Taxonomy Name | Audiologist-Hearing Aid Fitter
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------