Organization Active NPI

JC Audiology Inc

  • Audiologist-Hearing Aid Fitter
  • Lutz, FL
National Provider Identifier
1720299233
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AY902 Issued in FL
Legal business name
JC AUDIOLOGY INC
Practice address
1541 Dale Mabry Hwy
Suite 201
Lutz, FL 33548-3017
Phone
(813) 949-1331
Fax
(813) 949-6132
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Mr. Charles R Reese, MBA
Title
President
Phone
(813) 949-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X AY902 FL Primary

Addresses

Primary practice location

1541 Dale Mabry Hwy
Suite 201
Lutz, FL 33548-3017

Mailing address

1541 Dale Mabry Hwy
Suite 201
Lutz, FL 33548-3017
Phone (813) 949-1331

Other identifiers 2

IdentifierTypeStateIssuer
S9144OtherFLBCBS
600472500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1519 Dale Mabry Hwy
Ste 202
Lutz, FL 33548

1541 Dale Mabry Hwy
Ste 201
Lutz, FL 33548
Phone (813) 949-1331

Practitioners & affiliated clinicians

Practitioners 2

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1720299233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 DALE MABRY HWY",
            "address_2": "SUITE 201",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335483017",
            "telephone_number": "813-949-1331",
            "fax_number": "813-949-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 DALE MABRY HWY",
            "address_2": "SUITE 201",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335483017",
            "telephone_number": "813-949-1331",
            "fax_number": "813-949-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC AUDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-949-1331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "S9144",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600472500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.