Optimal Audiology, LLC

Organization Active NPI Hearing and Speech Clinic/Center · Russiaville, IN

NPI 1649564584 · NPPES record last updated Jun 8, 2011

Key facts

NPI
1649564584
Entity type
Organization (NPI type 2)
Primary specialty
Hearing and Speech Clinic/Center 261QH0700X
License
23002078A (IN)
Legal business name
OPTIMAL AUDIOLOGY, LLC
Practice address
3309 S 750 W
Russiaville, IN 46979-9146
Phone
(765) 883-2273
Fax
(574) 699-6987
NPI assigned
Jun 8, 2011
Organization subpart
No

Authorized official

Name
Kelly Garner, AU.D.
Title
President
Phone
(765) 461-7174

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 23002078A IN Yes

Addresses

Primary practice location

3309 S 750 W
Russiaville, IN 46979-9146

Mailing address

3309 S 750 W
Russiaville, IN 46979-9146
Phone (765) 883-2273

Other providers in Russiaville, IN

All providers in Russiaville, IN · Hearing and Speech Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.