MEDICARE: EAR PROFESSIONALS INTERNATIONAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	231H00000X	Audiologist
2	231HA2500X	Assistive Technology Supplier Audiologist
3	237600000X	Audiologist-Hearing Aid Fitter
4	237700000X	Hearing Instrument Specialist
5	332S00000X	Hearing Aid Equipment

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	:	1720243637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAR PROFESSIONALS INTERNATIONAL LLC

Provider Business Mailing Address
First Line	:	PO BOX 740381
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-0381
Country	:	US
Telephone Number	:	855-523-9355
Fax Number	:	909-348-0070

Provider Business Practice Location Address
First Line	:	2 OPTUM CIR
Second Line	:	MN102-0200
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-2956
Country	:	US
Telephone Number	:	855-523-9355
Fax Number	:

Authorized Official
Title or Position	:	AGENT
Name	:	MS. JUDY SWANK
Credential	:
Telephone Number	:	909-718-8405

Provider Enumeration Date	:	07/21/2008
Last Update Date	:	01/23/2025

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Directions to “EAR PROFESSIONALS INTERNATIONAL LLC ” Practice Location

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