NPIMap

Organization Active NPI

Hac Hearing Aid Centers of America Inc

  • Audiologist-Hearing Aid Fitter
  • Portage, MI
National Provider Identifier
1821172685
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
HAC HEARING AID CENTERS OF AMERICA INC
Practice address
1350 W Centre Ave
Suite 105
Portage, MI 49024-5361
Phone
(269) 324-0301
Fax
(269) 324-2733
NPI assigned
Oct 25, 2006
Last updated
Jul 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Mr. Timothy D Lawrence
Title
Managing Director
Phone
(317) 243-2888

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU
Audiologist-Hearing Aid Fitter 237600000X NU Primary
Hearing Instrument Specialist 237700000X NU

Addresses

Primary practice location

1350 W Centre Ave
Suite 105
Portage, MI 49024-5361

Mailing address

1350 W Centre Ave
Suite 105
Portage, MI 49024-5361
Phone (269) 324-0301

Other identifiers 3

IdentifierTypeStateIssuer
902004116MedicaidMI
540C90317OtherBCBS
871870943MedicaidMI

National Provider Directory

National Provider Directory

Locations

1350 W Centre Ave
Ste 105
Portage, MI 49024
Phone (269) 324-0301

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1821172685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W CENTRE AVE",
            "address_2": "SUITE 105",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245361",
            "telephone_number": "269-324-0301",
            "fax_number": "269-324-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W CENTRE AVE",
            "address_2": "SUITE 105",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245361",
            "telephone_number": "269-324-0301",
            "fax_number": "269-324-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAC HEARING AID CENTERS OF AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "317-243-2888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "902004116",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540C90317",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "871870943",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.