Active NPI
JC Audiology Inc
- Audiologist-Hearing Aid Fitter
- Lutz, FL
National Provider Identifier
1720299233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AY902
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S9144 | Other | FL | BCBS |
| 600472500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Hearing Instrument Specialist
- Lutz, FL
- NPI 1780438226
-
- Hearing Instrument Specialist
- Gainesville, FL
- NPI 1609444561
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.