Organization Active NPI

Supreme Hearing Company, Inc.

Doing business as Miracle-Ear

  • Hearing Aid Equipment
  • Fort Wayne, IN
National Provider Identifier
1952447062
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
NONE Issued in IN
Legal business name
SUPREME HEARING COMPANY, INC.
Doing business as
Miracle-Ear
Practice address
101 W Washington Center Rd Ste C
Fort Wayne, IN 46825-4357
Phone
(260) 482-8503
Fax
(260) 484-1620
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jo Ann Robinson
Title
President
Phone
(260) 483-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X NONE IN Primary

Addresses

Primary practice location

101 W Washington Center Rd Ste C
Fort Wayne, IN 46825-4357

Mailing address

PO Box 623
Huntertown, IN 46748-0623
Phone (260) 483-2700

Other identifiers 1

IdentifierTypeStateIssuer
22000000182087OtherINANTHEM BC-BS

Other names 1

  • Miracle-Ear Doing business as

National Provider Directory

National Provider Directory

Locations

101 W Washington Center Rd
Ste C
Fort Wayne, IN 46825
Phone (260) 482-8503

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952447062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "HUNTERTOWN",
            "state": "IN",
            "postal_code": "467480623",
            "telephone_number": "260-483-2700",
            "fax_number": "260-484-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W WASHINGTON CENTER RD STE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254357",
            "telephone_number": "260-482-8503",
            "fax_number": "260-484-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HEARING COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-483-2700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "IN",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC-BS",
            "identifier": "22000000182087",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle-Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.