NPIMap

Organization Active NPI

Tracie Edwards Dba the Hearing Aid Shop

  • Customized Equipment (DME)
  • Bolivar, NY
National Provider Identifier
1972816197
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
15000016138 Issued in NY
Legal business name
TRACIE EDWARDS DBA THE HEARING AID SHOP
Practice address
7760 Route 417 W
Bolivar, NY 14715-9602
Phone
(585) 928-1657
Fax
(585) 928-1625
NPI assigned
Jul 16, 2010
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Tracie Dawn EdwardsNPI 1134384357
Title
Owner
Phone
(585) 928-1657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X F03199 PA
Customized Equipment (DME) 332BC3200X 15000016138 NY Primary

Addresses

Primary practice location

7760 Route 417 W
Bolivar, NY 14715-9602

Mailing address

7760 Route 417 W
Bolivar, NY 14715-9602
Phone (585) 928-1657

National Provider Directory

National Provider Directory
Tax ID family
The Hearing Aid Shop2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1972816197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 ROUTE 417 W",
            "city": "BOLIVAR",
            "state": "NY",
            "postal_code": "147159602",
            "telephone_number": "585-928-1657",
            "fax_number": "585-928-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 ROUTE 417 W",
            "city": "BOLIVAR",
            "state": "NY",
            "postal_code": "147159602",
            "telephone_number": "585-928-1657",
            "fax_number": "585-928-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACIE EDWARDS DBA THE HEARING AID SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-928-1657"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "F03199",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "15000016138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.