Great Lakes Hearing

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

3501000421 Issued in MI

Legal business name

GREAT LAKES HEARING

Practice address

6272 28TH St SE
Grand Rapids, MI 49546-6902

Phone

(616) 988-4327

Fax

(616) 988-9070

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Rae Faasse'

Title

Owner

Phone

(616) 988-4327

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154470334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6272 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466902",
            "telephone_number": "616-988-4327",
            "fax_number": "616-988-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6272 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466902",
            "telephone_number": "616-988-4327",
            "fax_number": "616-988-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HEARING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAASSE'",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-988-4327",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MI",
            "license": "3501000421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004271683",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles E. Grayson, PH.D.
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• Great Lakes Chiropractic Partners
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• Great Lakes Jaw Surgery, PC
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• Great Lakes Psychiatric Services, P.C.
• Great Lakes RPH Corp

• Hearing Aid Equipment in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Hearing Aid Equipment in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.