MEDICARE: MID WEST HEARING 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	:	1457522393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MID WEST HEARING LLC

Provider Business Mailing Address
First Line	:	131 ENTERPRISE RD
Second Line	:
City	:	JOHNSTOWN
State	:	NY
Zip	:	12095-3326
Country	:	US
Telephone Number	:	518-620-4238
Fax Number	:	518-620-5727

Provider Business Practice Location Address
First Line	:	6692 ODANA RD
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53719-1012
Country	:	US
Telephone Number	:	608-829-3777
Fax Number	:

Authorized Official
Title or Position	:	HEARING INSTRUMENT SPECIALIST
Name	:	SCOTT LAU
Credential	:
Telephone Number	:	518-736-2284

Provider Enumeration Date	:	03/19/2008
Last Update Date	:	12/11/2025

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