=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790827376
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BETTER HEARING CENTER, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2007
-----------------------------------------------------
Last Update Date | 11/05/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2112 BIENVILLE BLVD SUITE I
-----------------------------------------------------
City | OCEAN SPRINGS
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39564-3067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 228-818-9555
-----------------------------------------------------
Fax | 228-875-7394
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2112 BIENVILLE BLVD SUITE I
-----------------------------------------------------
City | OCEAN SPRINGS
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39564-3067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 228-818-9555
-----------------------------------------------------
Fax | 228-875-7394
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ROSS SOWELL DEAVOURS
-----------------------------------------------------
Credential | AUD
-----------------------------------------------------
Telephone | 228-818-9555
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | A2055
-----------------------------------------------------
License Number State | MS
-----------------------------------------------------