NPIMap

Organization Active NPI

Pro Ear Inc.

Doing business as Miracle-Ear

  • Audiologist
  • Rockford, IL
National Provider Identifier
1649301094
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
PRO EAR INC.
Doing business as
Miracle-Ear
Practice address
801 N. Perryville Rd
Suite #2
Rockford, IL 61107-6232
Phone
(815) 397-4327
Fax
(815) 397-4341
NPI assigned
Mar 8, 2007
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Mr. Chris Anthony Haynes, B.C., NBC-HIS AUDIOP
Title
Owner/President
Phone
(815) 988-1830

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X
Audiologist 231H00000X Primary
Audiologist-Hearing Aid Fitter 237600000X

Addresses

Primary practice location

801 N. Perryville Rd
Suite #2
Rockford, IL 61107-6232

Mailing address

801 N. Perryville Rd
Suite #2
Rockford, IL 61107-6232
Phone (815) 397-4327

Other identifiers 1

IdentifierTypeStateIssuer
330500518001MedicaidIL

Other names 1

  • Miracle-Ear Doing business as

National Provider Directory

National Provider Directory

Locations

5910 E State St
Rockford, IL 61108
Phone (815) 397-4327

801 N Perryville Rd
Ste 2
Rockford, IL 61107
Phone (815) 397-4327

Practitioners & affiliated clinicians

Practitioners 9

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1649301094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N. PERRYVILLE RD",
            "address_2": "SUITE #2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076232",
            "telephone_number": "815-397-4327",
            "fax_number": "815-397-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N. PERRYVILLE RD",
            "address_2": "SUITE #2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076232",
            "telephone_number": "815-397-4327",
            "fax_number": "815-397-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO EAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "815-988-1830",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.C., NBC-HIS AUDIOP"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330500518001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle-Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.