MEDICARE: ALPACA AUDIOLOGY IN & VA LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332S00000X	Hearing Aid Equipment
2	237700000X	Hearing Instrument Specialist
3	231H00000X	Audiologist

General Provider Information

NPI Number	:	1164066478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPACA AUDIOLOGY IN & VA LLC

Provider Business Mailing Address
First Line	:	35 WATERVIEW BLVD STE 305
Second Line	:
City	:	PARSIPPANY
State	:	NJ
Zip	:	07054-7604
Country	:	US
Telephone Number	:	973-588-7266
Fax Number	:

Provider Business Practice Location Address
First Line	:	4720 E STATE BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-6923
Country	:	US
Telephone Number	:	260-471-5693
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	VICKI COLE
Credential	:
Telephone Number	:	973-588-7266

Provider Enumeration Date	:	10/30/2019
Last Update Date	:	01/23/2026

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