Organization Active NPI

Eastside Hearing Aid Center, LLC

  • Audiologist-Hearing Aid Fitter
  • Painesville, OH
National Provider Identifier
1093922049
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
EASTSIDE HEARING AID CENTER, LLC
Practice address
7580 Auburn Road
#103
Painesville, OH 44077
Phone
(440) 352-1474
Fax
(440) 352-2662
NPI assigned
May 17, 2007
Last updated
Feb 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
E Luke Bold, M.D.NPI 1366412827
Title
Vice President
Phone
(440) 352-1474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X Primary
Hearing Instrument Specialist 237700000X 02797 OH

Addresses

Primary practice location

7580 Auburn Road
#103
Painesville, OH 44077

Mailing address

7580 Auburn Road
#103
Painesville, OH 44077
Phone (440) 352-1474

National Provider Directory

National Provider Directory

Locations

7580 Auburn Rd
Ste 103
Concord Township, OH 44077
Phone (440) 352-1474

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1093922049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 AUBURN ROAD",
            "address_2": "#103",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "44077",
            "telephone_number": "440-352-1474",
            "fax_number": "440-352-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 AUBURN ROAD",
            "address_2": "#103",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "44077",
            "telephone_number": "440-352-1474",
            "fax_number": "440-352-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE HEARING AID CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "BOLD",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "440-352-1474",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "02797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.