MEDICARE: IOWA HEARING ASSOCIATES 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	:	1508067828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IOWA HEARING ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	131 ENTERPRISE RD
Second Line	:
City	:	JOHNSTOWN
State	:	NY
Zip	:	12095-3326
Country	:	US
Telephone Number	:	401-353-4174
Fax Number	:	401-488-5774

Provider Business Practice Location Address
First Line	:	4129 GORDON DRIVE
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-0000
Country	:	US
Telephone Number	:	712-454-5056
Fax Number	:	712-454-5057

Authorized Official
Title or Position	:	HEARING INSTRUMENT SPECIALIST
Name	:	CORY POPELKA
Credential	:
Telephone Number	:	712-454-5056

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	06/12/2023

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