Active NPI
Professional Hearing Care Center
- Audiologist-Hearing Aid Fitter
- Lakeland, FL
National Provider Identifier
1992758395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Legal business name
- PROFESSIONAL HEARING CARE CENTER
- Practice address
- 1702 E Edgewood Dr
Lakeland, FL 33803-3412 - Phone
- (863) 688-0777
- Fax
- (863) 688-4443
- NPI assigned
- May 18, 2006
- Last updated
- Jan 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Beckner
- Title
- President
- Phone
- (863) 688-0777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | NU | Primary |
Addresses
Primary practice location
1702 E Edgewood Dr
Lakeland, FL 33803-3412
Mailing address
1702 E Edgewood Dr
Lakeland, FL 33803-3412
Phone (863) 688-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J001B | Other | FL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
1702 E Edgewood Dr
Lakeland, FL 33803
Phone (863) 688-0777
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Hearing Instrument Specialist
- Lakeland, FL
- NPI 1679504963
-
- Audiologist
- Lakeland, FL
- NPI 1528231610
-
- Audiologist-Hearing Aid Fitter
- Zephyrhills, FL
- NPI 1477556413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262563200000",
"number": "1992758395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 E EDGEWOOD DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338033412",
"telephone_number": "863-688-0777",
"fax_number": "863-688-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 E EDGEWOOD DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338033412",
"telephone_number": "863-688-0777",
"fax_number": "863-688-4443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL HEARING CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2010-01-04",
"status": "A",
"authorized_official_last_name": "BECKNER",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "863-688-0777"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J001B",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.