MEDICARE: MY HEARING CENTERS, 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	237600000X	Audiologist-Hearing Aid Fitter

General Provider Information

NPI Number	:	1891461877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY HEARING CENTERS, LLC

Provider Business Mailing Address
First Line	:	8941 S 700 E
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-2400
Country	:	US
Telephone Number	:	732-688-6486
Fax Number	:

Provider Business Practice Location Address
First Line	:	5710 SIMMONS ST
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89031-9900
Country	:	US
Telephone Number	:	888-230-0875
Fax Number	:	801-396-7066

Authorized Official
Title or Position	:	VP
Name	:	EILEEN HAMPP
Credential	:
Telephone Number	:	732-688-6486

Provider Enumeration Date	:	08/19/2021
Last Update Date	:	08/19/2021

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