MEDICARE: JACK JONES HEARING CENTERS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	237600000X	Audiologist-Hearing Aid Fitter
2	237700000X	Hearing Instrument Specialist
3	231H00000X	Audiologist
4	231HA2400X	Assistive Technology Practitioner Audiologist
5	231HA2500X	Assistive Technology Supplier Audiologist
6	332S00000X	Hearing Aid Equipment

General Provider Information

NPI Number	:	1821381070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACK JONES HEARING CENTERS, INC.

Provider Business Mailing Address
First Line	:	750 N COMMONS DR STE 200
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-8025
Country	:	US
Telephone Number	:	630-303-5380
Fax Number	:	630-303-5385

Provider Business Practice Location Address
First Line	:	3023 THOUSAND OAKS DR STE 105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-3557
Country	:	US
Telephone Number	:	210-494-2525
Fax Number	:	210-494-2526

Authorized Official
Title or Position	:	VP OF FINANCE AND CONTROLLING
Name	:	VICKI COLE
Credential	:
Telephone Number	:	331-305-8086

Provider Enumeration Date	:	05/20/2011
Last Update Date	:	07/22/2025

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