Organization Active NPI

Mountain View Hearing Aid Center LLC

  • Hearing Aid Equipment
  • Sequim, WA
National Provider Identifier
1174756167
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
WA2054 Issued in WA
Legal business name
MOUNTAIN VIEW HEARING AID CENTER LLC
Practice address
625 N 5TH Ave
Sequim, WA 98382-5062
Phone
(360) 681-4481
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Robert Wayne Keesee Jr.
Title
President
Phone
(360) 681-4481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X WA2054 WA Primary

Addresses

Primary practice location

625 N 5TH Ave
Sequim, WA 98382-5062

Mailing address

PO Box 3445
Sequim, WA 98382-5029
Phone (360) 681-4481

Other identifiers 1

IdentifierTypeStateIssuer
9045501MedicaidWA

National Provider Directory

National Provider Directory

Locations

625 N 5th Ave
Sequim, WA 98382
Phone (360) 681-4481

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1174756167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3445",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983825029",
            "telephone_number": "360-681-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983825062",
            "telephone_number": "360-681-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW HEARING AID CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "KEESEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-681-4481",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WA",
            "license": "WA2054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9045501",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.