NPIMap

Organization Active NPI

Mutter's Precision Hearing Center, Inc

  • Hearing Aid Equipment
  • Port St Lucie, FL
National Provider Identifier
1558590265
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
AS3398 Issued in FL
Legal business name
MUTTER'S PRECISION HEARING CENTER, INC
Practice address
1680 SW Saint Lucie West Blvd
Suite 103
Port St Lucie, FL 34986-1927
Phone
(772) 871-1222
NPI assigned
Jul 2, 2009
Last updated
Jul 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Mr. Joseph Boyd Mutter, H.A.S.NPI 1699934216
Title
Owner/President
Phone
(772) 871-1222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X AS3398 FL Primary

Addresses

Primary practice location

1680 SW Saint Lucie West Blvd
Suite 103
Port St Lucie, FL 34986-1927

Mailing address

1680 SW Saint Lucie West Blvd
Suite 103
Port St Lucie, FL 34986-1927
Phone (772) 871-1222

Other identifiers 1

IdentifierTypeStateIssuer
610205100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1680 SW Saint Lucie West Blvd
Ste 103
Port St Lucie, FL 34986
Phone (772) 871-1222

Practitioners & affiliated clinicians

Practitioners 1

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": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1558590265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 SW SAINT LUCIE WEST BLVD",
            "address_2": "SUITE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861927",
            "telephone_number": "772-871-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SW SAINT LUCIE WEST BLVD",
            "address_2": "SUITE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861927",
            "telephone_number": "772-871-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUTTER'S PRECISION HEARING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "MUTTER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "772-871-1222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "H.A.S."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "FL",
            "license": "AS3398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610205100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.