MEDICARE: CLEAR SOUND HEARING 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	973	MO

General Provider Information

NPI Number	:	1992905228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR SOUND HEARING LLC

Provider Business Mailing Address
First Line	:	904 THOMPSON BLVD
Second Line	:
City	:	SEDALIA
State	:	MO
Zip	:	65301-2241
Country	:	US
Telephone Number	:	660-826-3700
Fax Number	:	660-826-1909

Provider Business Practice Location Address
First Line	:	2705 N KANSAS EXPY
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65803-1113
Country	:	US
Telephone Number	:	417-865-8882
Fax Number	:	417-865-7994

Authorized Official
Title or Position	:	HIS / MANAGER
Name	:	MR. RANDEE M GUISON
Credential	:
Telephone Number	:	417-343-9132

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	10/16/2015

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