Individual provider Active NPI

Victor Vernon Wells, HEARING AID DEALER

  • Hearing Instrument Specialist
  • Evansville, IN
National Provider Identifier
1851555932
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
17000292A Issued in IN
Practice address
1562 So Fairlawn Ave
Evansville, IN 47714-3133
Phone
(812) 479-7303
Fax
(812) 479-7303
NPI assigned
Jul 17, 2008
Last updated
Jul 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 17000292A IN Primary

Addresses

Primary practice location

1562 So Fairlawn Ave
Evansville, IN 47714-3133

Mailing address

1562 So Fairlawn Ave
Evansville, IN 47714-3133
Phone (812) 479-7303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17000292AINMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1851555932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 SO FAIRLAWN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477143133",
            "telephone_number": "812-479-7303",
            "fax_number": "812-479-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 SO FAIRLAWN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477143133",
            "telephone_number": "812-479-7303",
            "fax_number": "812-479-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "VICTOR",
        "middle_name": "VERNON",
        "name_prefix": "Mr.",
        "credential": "HEARING AID DEALER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17000292A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.