Organization Active NPI

Blue Ridge Hearing Inc

Doing business as Miracle-Ear

  • Hearing and Speech Clinic/Center
  • Glen Allen, VA
National Provider Identifier
1801110028
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
801 Issued in WV
Legal business name
BLUE RIDGE HEARING INC
Doing business as
Miracle-Ear
Practice address
10101 Brook Rd
Miracle-Ear @Sears
Glen Allen, VA 23059-4225
Phone
(804) 264-4920
Fax
(304) 324-8308
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Gregory L Wimmer
Title
President
Phone
(304) 324-8358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 801 WV Primary

Addresses

Primary practice location

10101 Brook Rd
Miracle-Ear @Sears
Glen Allen, VA 23059-4225

Mailing address

PO Box 6115
Bluefield, WV 24701-6115
Phone (304) 324-8358

Other names 1

  • MIRACLE-EAR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Ridge Hearing Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

10101 Brook Rd
Glen Allen, VA 23059
Phone (804) 266-9511

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1801110028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6115",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247016115",
            "telephone_number": "304-324-8358",
            "fax_number": "304-324-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 BROOK RD",
            "address_2": "MIRACLE-EAR @SEARS",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594225",
            "telephone_number": "804-264-4920",
            "fax_number": "304-324-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEARING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "WIMMER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-324-8358"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "WV",
            "license": "801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRACLE-EAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.