MEDICARE: JACK JONES HEARING CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	231H00000X	Audiologist
2	231HA2400X	Assistive Technology Practitioner Audiologist
3	231HA2500X	Assistive Technology Supplier Audiologist
4	237600000X	Audiologist-Hearing Aid Fitter
5	237700000X	Hearing Instrument Specialist
6	332S00000X	Hearing Aid Equipment

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0615164	OTHER	TX	AETNA
2	530294	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124294863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACK JONES HEARING CENTERS, INC.

Provider Business Mailing Address
First Line	:	750 N COMMONS DR STE 200
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-8025
Country	:	US
Telephone Number	:	630-303-5380
Fax Number	:	630-303-5385

Provider Business Practice Location Address
First Line	:	5512 BELLAIRE DR S STE K
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-5800
Country	:	US
Telephone Number	:	817-546-0514
Fax Number	:	817-546-0518

Authorized Official
Title or Position	:	VP, FINANCE AND CONTROLLING
Name	:	VICKI COLE
Credential	:
Telephone Number	:	331-305-8086

Provider Enumeration Date	:	05/02/2008
Last Update Date	:	07/22/2025

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Directions to “JACK JONES HEARING CENTERS, INC. ” Practice Location

Language	Start Address	Practice Location

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