Eric Alan Eliason, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80203 Issued in TX

Practice address

554 Keily Street
Centralized Credential and Privileging Directorate
Jacksonville, FL 32212-8014

Phone

(757) 953-7550

Fax

(757) 953-7560

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1679669071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 KEILY STREET",
            "address_2": "CENTRALIZED CREDENTIAL AND PRIVILEGING DIRECTORATE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "757-953-7550",
            "fax_number": "757-953-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 KEILY STREET",
            "address_2": "CENTRALIZED CREDENTIAL AND PRIVILEGING DIRECTORATE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322128014",
            "telephone_number": "757-953-7550",
            "fax_number": "757-953-7560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36065 Santa Fe Ave",
            "address_2": "Dept of Surgery, ENT Svc, Audiology",
            "address_purpose": "LOCATION",
            "city": "Fort Hood",
            "state": "TX",
            "postal_code": "76544",
            "country_code": "US",
            "telephone_number": "254-553-1148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIASON",
        "first_name": "ERIC",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine A Elhage, DO
• Judith Anne Elia, M.S.
• Beatrice I Elias
• Bradley J Elias, MD
• Nidal S Elias, DDS, MS
• Torri Elie
• Ronald Elinoff, DDS
• Laith Elissa
• Elite Barr Transportation LLC
• Elite Care Medical Supplies LLC

• Audiologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.