MEDICARE: DISCOVERY HEARING AID CO OP 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	332S00000X	Hearing Aid Equipment

General Provider Information

NPI Number	:	1316020597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISCOVERY HEARING AID CO OP INC

Provider Business Mailing Address
First Line	:	4318 DOWNTOWNER LOOP NORTH
Second Line	:	SUITE K
City	:	MOBILE
State	:	AL
Zip	:	36609-5508
Country	:	US
Telephone Number	:	251-342-1144
Fax Number	:	251-342-2158

Provider Business Practice Location Address
First Line	:	4318 DOWNTOWNER LOOP NORTH
Second Line	:	SUITE K
City	:	MOBILE
State	:	AL
Zip	:	36609-5508
Country	:	US
Telephone Number	:	251-342-1144
Fax Number	:	251-342-2158

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RICHARD JOHN KAISER
Credential	:	BA BC HIS
Telephone Number	:	251-342-1144

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	08/22/2020

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