LAS DAVIS ENTERPRISES (NPI# 1235624867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235624867 |
| Entity Type | Organization |
| Organization Name | LAS DAVIS ENTERPRISES |
| Other Organization Name | MIRACLE-EAR |
| Practice Address |
911 State Rte 3 Waterloo IL 62298 |
| Mailing Address |
4200 N Illinois Suite D Swansea IL 62226 |
| Practice Telephone | 6188441401 |
| Practice Fax Number | 6185042086 |
| Mailing Telephone | 6182347368 |
| Mailing Fax Number | 6184161815 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Authorized Official Name | TIFFANY DAVIS (PRESIDENT) |
| Authorized Official Telephone | 3143280088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Miracle-Ear | Doing Business As Name - Organization |
| Street Address |
911 STATE RTE 3 |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| 1558571034 | Kohlmeier Chiropractic Therapy | Chiropractor | 1329 North Route 3, Waterloo, IL 62298 | 2007-05-23 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477189686 | Dillon Greer | Hearing Instrument Specialist | 1655 E San Marnan Dr Ste C, Waterloo, IA 50702-4380 | 2020-03-19 |
| 1801092994 | Debra Sue Kloster | Hearing Instrument Specialist | 1835 Downing Ave, Waterloo, IA 50701-6031 | 2007-06-25 |
| 1306923131 | Ronald L Potter | Hearing Instrument Specialist | 1416 W 4th St, Waterloo, IA 50702-2908 | 2006-11-01 |
| 1457312316 | Jeffrey Scott Smith | Hearing Instrument Specialist | 834 W 4 St, Waterloo, IA 50702 | 2006-03-30 |
| 1467448217 | Hearing Unlimited LLC | Hearing Instrument Specialist | 834 W 4th St, Waterloo, IA 50702-2102 | 2005-09-26 |
| 1457987661 | Aaron M Salandro | Hearing Instrument Specialist | 1655 E San Marnan Dr, Waterloo, IA 50702-4378 | 2020-03-19 |
| 1134766884 | Mackenzie Emery | Hearing Instrument Specialist | 3138 Kimball Ave, Waterloo, IA 50702-5253 | 2019-12-02 |
| 1457696957 | Stacey Lynn Goben | Hearing Instrument Specialist | 3852 Hammond Ave, Waterloo, IA 50702-5618 | 2012-12-10 |
| 1770657843 | Darnell Fairbanks | Hearing Instrument Specialist | 1334 Flammang Dr, Waterloo, IA 50702-4366 | 2006-11-20 |
| 1962576371 | Kyle David Kuhlman | Hearing Instrument Specialist | 2055 Kimball Ave, Suite 300, Waterloo, IA 50702-5014 | 2006-11-17 |
| Find all providers in WATERLOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.