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NPI Code Detail

MEDICARE: OPTISOUND HEARING US INC

MEDICARE: OPTISOUND HEARING US INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies1050MT
2332B00000XDurable Medical Equipment & Medical Supplies347MT

General Provider Information

NPI Number : 1285059642
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTISOUND HEARING US INC
Provider Business Mailing Address
First Line : 2350 VIA CAPORATTI DR
Second Line : SUITE B
City : POCATELLO
State : ID
Zip : 83201-5095
Country : US
Telephone Number : 208-237-5322
Fax Number : 208-478-1455
Provider Business Practice Location Address
First Line : 1292 BURNS WAY
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3110
Country : US
Telephone Number : 406-755-2320
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BARRY FINLAY
Credential :
Telephone Number : 406-755-2320
Provider Enumeration Date : 02/21/2014
Last Update Date : 05/18/2015

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Directions to “OPTISOUND HEARING US INC ” Practice Location

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