MEDICARE: OLSEN HEARING SERVICES 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	261QH0700X	Hearing and Speech Clinic/Center	A00215	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497898654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLSEN HEARING SERVICES INC.

Provider Business Mailing Address
First Line	:	5267 PEARL RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-1550
Country	:	US
Telephone Number	:	216-485-5767
Fax Number	:	216-485-5768

Provider Business Practice Location Address
First Line	:	5267 PEARL RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-1550
Country	:	US
Telephone Number	:	216-485-5767
Fax Number	:	216-485-5768

Authorized Official
Title or Position	:	AUDIOLOGIST
Name	:	DR. RANDALL R. OLSEN
Credential	:	AU.D
Telephone Number	:	216-485-5767

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	08/22/2020

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