MEDICARE: ADVANCED EARGEAR

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	231H00000X	Audiologist

General Provider Information

NPI Number	:	1548762198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED EARGEAR

Provider Business Mailing Address
First Line	:	2828 S ARLINGTON RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-4726
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2828 S ARLINGTON RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-4726
Country	:	US
Telephone Number	:	330-785-0800
Fax Number	:	330-785-0802

Authorized Official
Title or Position	:	OWNER/HIS
Name	:	DEBRA VALATKA
Credential	:
Telephone Number	:	330-785-0800

Provider Enumeration Date	:	02/28/2018
Last Update Date	:	02/28/2018

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Directions to “ADVANCED EARGEAR ” Practice Location

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