Orange Park Audiology Clinic

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

AY1067 Issued in FL

Legal business name

ORANGE PARK AUDIOLOGY CLINIC

Practice address

1542 Kingsley Ave
Suite 141
Orange Park, FL 32073-4586

Phone

(904) 278-9828

Fax

(904) 278-9818

NPI assigned

Dec 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Franklin Williams Jr., PHD.

Title

Doctor Owner

Phone

(904) 278-9828

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1386913689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 KINGSLEY AVE",
            "address_2": "SUITE 141",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734586",
            "telephone_number": "904-278-9828",
            "fax_number": "904-278-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 KINGSLEY AVE",
            "address_2": "SUITE 141",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734586",
            "telephone_number": "904-278-9828",
            "fax_number": "904-278-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PARK AUDIOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "904-278-9828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "FL",
            "license": "AY1067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003911700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orange Park Adult Day Center, LLC
• Orange Park Assisted Living Facility, Inc.
• Orange Park Chiropractic Center PA
• Orange Park Dentistry
• Orange Park Endoscopy Center LLC
• Orange Park Extended Care LLC
• Orange Park Facility Operations LLC

• Hearing Aid Equipment in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Hearing Aid Equipment in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.