Organization Active NPI

Coastal Hearing Services, LLC

Doing business as Berries Hearing and Optical Center

  • Audiologist
  • Brunswick, ME
National Provider Identifier
1285099507
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DL372 Issued in ME
Legal business name
COASTAL HEARING SERVICES, LLC
Doing business as
Berries Hearing and Optical Center
Practice address
86 Maine St
Brunswick, ME 04011-2015
Phone
(207) 725-5111
Fax
(207) 406-4411
NPI assigned
Dec 31, 2015
Last updated
Mar 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Dr. Anna Kelly Strange, AUDNPI 1619111648
Title
Owner
Phone
(207) 725-5111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DL372 ME Primary

Addresses

Primary practice location

86 Maine St
Brunswick, ME 04011-2015

Mailing address

86 Maine St
Brunswick, ME 04011-2015
Phone (207) 725-5111

Other names 1

  • Berries Hearing and Optical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160407001753 ME Part B Supplier - Clinic/Group Practice 1951609908 Receives reassigned benefits from 4 practitioners
Practice locations: Brunswick, ME; Gardiner, ME

National Provider Directory

National Provider Directory

Locations

312 Water St
Gardiner, ME 04345
Phone (207) 481-9900

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1285099507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 MAINE ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112015",
            "telephone_number": "207-725-5111",
            "fax_number": "207-406-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 MAINE ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112015",
            "telephone_number": "207-725-5111",
            "fax_number": "207-406-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEARING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-725-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ME",
            "license": "DL372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berries Hearing and Optical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.