MEDICARE: CINCINNATI HEARING CENTER, LLC

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	:	1376890830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CINCINNATI HEARING CENTER, LLC

Provider Business Mailing Address
First Line	:	6570 GLENWAY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-4410
Country	:	US
Telephone Number	:	513-598-9444
Fax Number	:	513-598-8223

Provider Business Practice Location Address
First Line	:	6570 GLENWAY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-4410
Country	:	US
Telephone Number	:	513-598-9444
Fax Number	:	513-598-8223

Authorized Official
Title or Position	:	OWNER
Name	:	AMY LYNNE SMITH
Credential	:
Telephone Number	:	513-598-9444

Provider Enumeration Date	:	08/14/2012
Last Update Date	:	05/12/2014

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