Ted J Lutz, HEARING AID DEALER

Primary specialty

SpecialistTaxonomy code 174400000X

License

540E30879 Issued in MI

Practice address

325 N Jebavy Dr
Ludington, MI 49431-1923

Phone

(231) 843-7019

Fax

(231) 843-7019

NPI assigned

May 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hearing Health Mi LLC

  dba Lutz Hearing Aid Center

  • Hearing Aid Equipment
  • Norton Shores, MI
  • NPI 1669872453
  NPD (past)
• Ideal Practice Management Group Mi LLC

  • Hearing Aid Equipment
  • Dickson, TN
  • NPI 1013466408
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548475361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N JEBAVY DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311923",
            "telephone_number": "231-843-7019",
            "fax_number": "231-843-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N JEBAVY DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311923",
            "telephone_number": "231-843-7019",
            "fax_number": "231-843-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "TED",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "HEARING AID DEALER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "540E30879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DEALER",
            "identifier": "540E30879",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ludington Opco, LLC (Medilodge of Ludington)
• Ludington Woods Retirement Village
• Ludington Woods Retirement Village (Ludington Woods Retirement Village - Laboratory)
• Michael E Luttropp Jr., M.D.
• Lisa Anne Luttrull, DPT
• Courtney Madsen, RN
• Stephen Joseph Manuszak, M.D.
• Kay Lynn Marble, LMSW, ACSW, CAC-R
• Marc E Keen, M.D. P.C. (Pathology Services of West Mi)
• Keith Marcus, MD

• Specialist in Ludington, MI
• Providers in Ludington, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.