Organization Active NPI

Innovative Ear & Hearing

  • Optician
  • Dubuque, IA
National Provider Identifier
1689087538
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
INNOVATIVE EAR & HEARING
Practice address
1620 JFK Rd
Dubuque, IA 52002-5302
Phone
(563) 582-1120
Fax
(563) 582-4327
NPI assigned
Jun 9, 2014
Organization subpart
Yes
Parent organization
INNOVATIVE EAR & HEARINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Mr. Kevin Hartig, BC-HIS
Title
Owner
Phone
(586) 991-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

1620 JFK Rd
Dubuque, IA 52002-5302

Mailing address

1620 JFK Rd
Dubuque, IA 52002-5302
Phone (563) 582-1120

Other names 1

  • hartig hearing care and optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Innovative Ear Hearing2 organizations share this tax ID, including this one
Part of
Innovative Ear Hearing

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1689087538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 JFK RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025302",
            "telephone_number": "563-582-1120",
            "fax_number": "563-582-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 JFK RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025302",
            "telephone_number": "563-582-1120",
            "fax_number": "563-582-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE EAR & HEARING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE EAR & HEARING",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "HARTIG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-991-0450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hartig hearing care and optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.