Active NPI
Eastern Idaho Audiology, LLC
Doing business as Pocatello Hearing Zone
- Audiologist-Hearing Aid Fitter
- Chubbuck, ID
National Provider Identifier
1972833481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AUD1214
- Legal business name
- EASTERN IDAHO AUDIOLOGY, LLC
- Doing business as
- Pocatello Hearing Zone
- Practice address
- 4155 Yellowstone Ave
Pine Ridge Mall
Chubbuck, ID 83202-2345 - Phone
- (208) 238-0020
- Fax
- (208) 238-0021
- NPI assigned
- Jan 5, 2010
- Last updated
- Jan 5, 2010
- Organization subpart
- Yes
- Parent organization
- EASTERN IDAHO AUDIOLOGY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelley J Olenick, AU.D.
- Title
- Owner/Audiologist
- Phone
- (208) 238-0020
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AUD1214 | ID | Primary |
Addresses
Primary practice location
4155 Yellowstone Ave
Pine Ridge Mall
Chubbuck, ID 83202-2345
Mailing address
7808 W Pocatello Creek Rd
Pocatello, ID 83201-9058
Phone (208) 235-1544
Other names 1
- Pocatello Hearing Zone
National Provider Directory
National Provider Directory- Part of
- Hearing Zone
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.
-
- Audiologist-Hearing Aid Fitter
- Pocatello, ID
- NPI 1437222668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262649600000",
"number": "1972833481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7808 W POCATELLO CREEK RD",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832019058",
"telephone_number": "208-235-1544",
"fax_number": "208-238-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 YELLOWSTONE AVE",
"address_2": "PINE RIDGE MALL",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "832022345",
"telephone_number": "208-238-0020",
"fax_number": "208-238-0021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN IDAHO AUDIOLOGY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EASTERN IDAHO AUDIOLOGY",
"enumeration_date": "2010-01-05",
"last_updated": "2010-01-05",
"status": "A",
"authorized_official_last_name": "OLENICK",
"authorized_official_first_name": "KELLEY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
"authorized_official_telephone_number": "208-238-0020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "ID",
"license": "AUD1214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pocatello Hearing Zone",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chubbuck, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.