Commonwealth Audiology LLC

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

Legal business name

COMMONWEALTH AUDIOLOGY LLC

Practice address

2280 Opitz Blvd
Suite 340
Woodbridge, VA 22191-3362

Phone

(703) 878-0777

Fax

(703) 583-1777

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Stephen M Bane, MD

Title

Owner

Phone

(703) 878-0777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1447530803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 OPITZ BLVD",
            "address_2": "SUITE 340",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913362",
            "telephone_number": "703-878-0777",
            "fax_number": "703-583-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 OPITZ BLVD",
            "address_2": "SUITE 340",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913362",
            "telephone_number": "703-878-0777",
            "fax_number": "703-583-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "BANE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-878-0777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Aid Equipment in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Hearing Aid Equipment in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.