MEDICARE: ALPHA-OMEGA HEARING AID CENTER, 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
1	237700000X	Hearing Instrument Specialist	001423	VA

General Provider Information

NPI Number	:	1295704120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA-OMEGA HEARING AID CENTER, INC.

Provider Business Mailing Address
First Line	:	1107 WELBORNE DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-5651
Country	:	US
Telephone Number	:	804-754-2002
Fax Number	:	804-754-2288

Provider Business Practice Location Address
First Line	:	1107 WELBORNE DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-5651
Country	:	US
Telephone Number	:	804-754-2002
Fax Number	:	804-754-2288

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MRS. ROBIN D. SCOTT
Credential	:	L.H.I.S.
Telephone Number	:	804-754-2002

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	08/22/2020

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