NPIMap

Organization Active NPI

Realear, Inc

  • Hearing Instrument Specialist
  • Palm Coast, FL
National Provider Identifier
1104124387
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
REALEAR, INC
Practice address
1000 Palm Coast Pkwy SW
Suite #109
Palm Coast, FL 32137-4746
Phone
(386) 447-3530
Fax
(386) 447-3633
NPI assigned
Mar 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Mr. Larry W. Smith, BC-HAS-ACA
Title
Vice President
Phone
(386) 447-3530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X Primary

Addresses

Primary practice location

1000 Palm Coast Pkwy SW
Suite #109
Palm Coast, FL 32137-4746

Mailing address

1000 Palm Coast Pkwy SW
Suite #109
Palm Coast, FL 32137-4746
Phone (386) 447-3530

National Provider Directory

National Provider Directory
Tax ID family
Realear Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 Palm Coast Pkwy SW
Ste 109
Palm Coast, FL 32137
Phone (386) 447-3530

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1104124387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PALM COAST PKWY SW",
            "address_2": "SUITE #109",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374746",
            "telephone_number": "386-447-3530",
            "fax_number": "386-447-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PALM COAST PKWY SW",
            "address_2": "SUITE #109",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374746",
            "telephone_number": "386-447-3530",
            "fax_number": "386-447-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALEAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "386-447-3530",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BC-HAS-ACA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.