Active NPI
Mountain View Hearing Aid Center LLC
- Hearing Aid Equipment
- Sequim, WA
National Provider Identifier
1174756167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- License
- WA2054
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9045501 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.